Stanley A Shustak in Worcester - General Practice
Stanley A Shustak - NPI 1356494165
Stanley A Shustak is a General Practice in Worcester, Massachusetts. Stanley A Shustak practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stanley A Shustak is 1356494165. The last update date is 2007-07-08.
Stanley A Shustak's current location address is 255 Park Ave Ste 509, Worcester, Massachusetts. You can contact this provider via phone number 5087547799 and fax number 5087548558. The mailing address for Stanley A Shustak is 255 Park Ave Ste 509, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stanley A Shustak |
|---|---|
| Address | 255 Park Ave Ste 509, Worcester, Massachusetts |
| Phone Number | 5087547799 |
| Fax Number | 5087548558 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1356494165 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 255 Park Ave Ste 509 |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16091958 |
| Phone Number | 5087547799 |
| Fax Number | 5087548558 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14677 |
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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 |
|---|---|---|---|
| 42941841 | MA | UNITED CONCORDIA | |
| X04458 | MA | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stanley A Shustak by the Centers for Medicare & Medicaid Services?
The Stanley A Shustak has been issued the NPI (National Provider Identifier) 1356494165 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stanley A Shustak's facilities are situated?
The facilities of Stanley A Shustak are physically located at the following address: 255 Park Ave Ste 509, Worcester, MA, 16091958.
What is the area of specialization for Stanley A Shustak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stanley A Shustak is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did Stanley A Shustak receive its 1356494165 assignment from the Centers for Medicare & Medicaid Services?
The Stanley A Shustak was assigned its 1356494165 on 2007-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Stanley A Shustak's details last updated?
The information pertaining to the Stanley A Shustak, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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