Irene Kakosyan in Glen Ridge - General Practice

Irene Kakosyan - NPI 1215135074

Irene Kakosyan is a General Practice in Glen Ridge, New Jersey. Irene Kakosyan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Irene Kakosyan is 1215135074. The last update date is 2007-07-08.

Irene Kakosyan's current location address is 163 Ridgewood Ave, Glen Ridge, New Jersey. You can contact this provider via phone number 2126619777 and fax number 2126619779. The mailing address for Irene Kakosyan is 163 Ridgewood Ave, Glen Ridge, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Irene Kakosyan
Address 163 Ridgewood Ave, Glen Ridge, New Jersey
Phone Number 2126619777
Fax Number 2126619779
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1215135074
Provider Enumeration Date 2007-07-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 163 Ridgewood Ave
City Glen Ridge
State New Jersey (NJ)
Post Code 70281104
Phone Number 2126619777
Fax Number 2126619779

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 049136-1
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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FAQs about Irene Kakosyan

What is the unique 10-digit identification code assigned to Irene Kakosyan by the Centers for Medicare & Medicaid Services?

The Irene Kakosyan has been issued the NPI (National Provider Identifier) 1215135074, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Irene Kakosyan is geographically located?

The Irene Kakosyan is physically situated at the following location: 163 Ridgewood Ave, Glen Ridge, NJ, 70281104.

What is the Irene Kakosyan's specialty and taxonomy code?

The Irene Kakosyan's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1215135074 to Irene Kakosyan?

The Centers for Medicare & Medicaid Services originally issued the 1215135074 to Irene Kakosyan on 2007-07-03.

When was the information regarding Irene Kakosyan most recently updated?

The details pertaining to the Irene Kakosyan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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