Cortino Sukotjo is a Prosthodontics in Boston, Massachusetts. Cortino Sukotjo practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Cortino Sukotjo is 1962606640. The last update date is 2007-07-08.
Cortino Sukotjo's current location address is 188 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6174321486 and fax number 6174320901. The mailing address for Cortino Sukotjo is 188 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cortino Sukotjo |
|---|---|
| Address | 188 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6174321486 |
| Fax Number | 6174320901 |
| Sole Proprietor | Y |
| Credentials | DDS, PH.D |
NPI Number Detail
| NPI Number | 1962606640 |
|---|---|
| Provider Enumeration Date | 2007-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 188 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155819 |
| Phone Number | 6174321486 |
| Fax Number | 6174320901 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 9133 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique 10-digit identifier code issued to Cortino Sukotjo by the Centers for Medicare & Medicaid Services?
The Cortino Sukotjo has been assigned the NPI (National Provider Identifier) 1962606640 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Cortino Sukotjo located?
The Cortino Sukotjo is located at 188 Longwood Ave, Boston, MA 21155819.
What is the Cortino Sukotjo's area of specialization and corresponding taxonomy classification?
The Cortino Sukotjo's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date did the Cortino Sukotjo receive the assignment of its 1962606640 from the Centers for Medicare & Medicaid Services?
The Cortino Sukotjo was issued its 1962606640 by the Centers for Medicare & Medicaid Services on 2007-06-14.
As of what date was the information regarding Cortino Sukotjo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Cortino Sukotjo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.