Elaine Sumire Otsuka in Fort Lee - General Practice
Elaine Sumire Otsuka - NPI 1619194180
Elaine Sumire Otsuka is a General Practice in Fort Lee, New Jersey. Elaine Sumire Otsuka practices all healthcare services and medical treatments related to General Practice. The NPI Number for Elaine Sumire Otsuka is 1619194180. The last update date is 2007-07-08.
Elaine Sumire Otsuka's current location address is 1617 Parker Avenue, Fort Lee, New Jersey. You can contact this provider via phone number 2014610130 and fax number 2014618525. The mailing address for Elaine Sumire Otsuka is 1617 Parker Avenue, Fort Lee, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elaine Sumire Otsuka |
|---|---|
| Address | 1617 Parker Avenue, Fort Lee, New Jersey |
| Phone Number | 2014610130 |
| Fax Number | 2014618525 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1619194180 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1617 Parker Avenue |
|---|---|
| City | Fort Lee |
| State | New Jersey (NJ) |
| Post Code | 7024 |
| Phone Number | 2014610130 |
| Fax Number | 2014618525 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 22DI01513200 |
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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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What is the Elaine Sumire Otsuka's 1619194180?
The Elaine Sumire Otsuka's NPI (National Provider Identifier) Number is 1619194180. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Elaine Sumire Otsuka is located?
The Elaine Sumire Otsuka is situated at the following address: 1617 Parker Avenue, Fort Lee, NJ, 7024.
What is Elaine Sumire Otsuka's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Elaine Sumire Otsuka is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619194180 to Elaine Sumire Otsuka?
The Centers for Medicare & Medicaid Services assigned the 1619194180 to Elaine Sumire Otsuka on 2007-04-19.
As of what date were the details related to Elaine Sumire Otsuka most recently updated or revised?
The information pertaining to Elaine Sumire Otsuka, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH