Shirley Botchway-Manu in West Orange - General Practice

Shirley Botchway-Manu - NPI 1114137940

Shirley Botchway-Manu is a General Practice in West Orange, New Jersey. Shirley Botchway-Manu practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shirley Botchway-Manu is 1114137940. The last update date is 2007-07-08.

Shirley Botchway-Manu's current location address is 470 Prospect Ave, West Orange, New Jersey. You can contact this provider via phone number 9733240660 and fax number 9733240180. The mailing address for Shirley Botchway-Manu is 470 Prospect Ave, West Orange, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Shirley Botchway-Manu
Address 470 Prospect Ave, West Orange, New Jersey
Phone Number 9733240660
Fax Number 9733240180
Sole Proprietor Y
Credentials D.M.D

NPI Number Detail

NPI Number 1114137940
Provider Enumeration Date 2007-05-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 470 Prospect Ave
City West Orange
State New Jersey (NJ)
Post Code 70524153
Phone Number 9733240660
Fax Number 9733240180

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DI 18979
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 Shirley Botchway-Manu

What is the unique provider identifier assigned to Shirley Botchway-Manu?

The Shirley Botchway-Manu has been issued the NPI (National Provider Identifier) 1114137940 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Shirley Botchway-Manu is geographically located?

The Shirley Botchway-Manu is physically situated at the following location: 470 Prospect Ave, West Orange, NJ, 70524153.

What is Shirley Botchway-Manu's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Shirley Botchway-Manu is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date was the 1114137940 assigned to Shirley Botchway-Manu?

The Shirley Botchway-Manu was issued its 1114137940 on 2007-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Shirley Botchway-Manu most recently updated or revised?

The information pertaining to Shirley Botchway-Manu, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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