Edward Stephen Radivonyk in Fitchburg - General Practice
Edward Stephen Radivonyk - NPI 1336205699
Edward Stephen Radivonyk is a General Practice in Fitchburg, Massachusetts. Edward Stephen Radivonyk practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward Stephen Radivonyk is 1336205699. The last update date is 2007-07-08.
Edward Stephen Radivonyk's current location address is 637 Main Street, Fitchburg, Massachusetts. You can contact this provider via phone number 9783422222 and fax number 9783421292. The mailing address for Edward Stephen Radivonyk is 637 Main Street, Fitchburg, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Stephen Radivonyk |
|---|---|
| Address | 637 Main Street, Fitchburg, Massachusetts |
| Phone Number | 9783422222 |
| Fax Number | 9783421292 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1336205699 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 637 Main Street |
|---|---|
| City | Fitchburg |
| State | Massachusetts (MA) |
| Post Code | 14203107 |
| Phone Number | 9783422222 |
| Fax Number | 9783421292 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN16221 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 269441 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Edward Stephen Radivonyk by the Centers for Medicare & Medicaid Services?
The Edward Stephen Radivonyk has been assigned the NPI (National Provider Identifier) 1336205699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Edward Stephen Radivonyk?
The Edward Stephen Radivonyk is situated at 637 Main Street, in the city of Fitchburg, state of MA, with the zip code 14203107.
What is Edward Stephen Radivonyk's area of expertise and its corresponding taxonomy classification?
The Edward Stephen Radivonyk's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1336205699 to Edward Stephen Radivonyk?
The Centers for Medicare & Medicaid Services assigned the 1336205699 to Edward Stephen Radivonyk on 2006-12-29.
As of what date was the information regarding Edward Stephen Radivonyk, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward Stephen Radivonyk, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.