Medoptions Of Massachusetts Llc in Old Lyme - Gerontology
Medoptions Of Massachusetts Llc - NPI 1053527028
Medoptions Of Massachusetts Llc is a Gerontology in Old Lyme, Connecticut. Medoptions Of Massachusetts Llc practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Medoptions Of Massachusetts Llc is 1053527028. The last update date is 2016-08-30.
Medoptions Of Massachusetts Llc's current location address is 55 Hatchetts Hill Rd, Old Lyme, Connecticut. You can contact this provider via phone number 8003703651 and fax number 8775157147. The mailing address for Medoptions Of Massachusetts Llc is 55 Hatchetts Hill Rd, Old Lyme, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medoptions Of Massachusetts Llc |
|---|---|
| Address | 55 Hatchetts Hill Rd, Old Lyme, Connecticut |
| Phone Number | 8003703651 |
| Fax Number | 8775157147 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Dooley Donna |
| Telephone Number | 8003703651 |
NPI Number Detail
| NPI Number | 1053527028 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2016-08-30 |
Provider Mailing Address Detail
| Address | 55 Hatchetts Hill Rd |
|---|---|
| City | Old Lyme |
| State | Connecticut (CT) |
| Post Code | 63711534 |
| Phone Number | 8003703651 |
| Fax Number | 8775157147 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 163Wg0600X |
|
Definition: A registered nurse who works with older adult patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7001000W10663 | MA | BLUE CROSS BLUE SHIELD | |
| 9793640 | MA | -- | |
| DG1569 | MA | PALMETO / RAILROAD MEDICARE |
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What is the Medoptions Of Massachusetts Llc's unique identification number?
The Medoptions Of Massachusetts Llc has been assigned the NPI (National Provider Identifier) Number 1053527028 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Medoptions Of Massachusetts Llc?
The Medoptions Of Massachusetts Llc is physically situated at 55 Hatchetts Hill Rd, in the city of Old Lyme, state of CT, with the postal code 63711534.
What is the Medoptions Of Massachusetts Llc's area of specialization and corresponding taxonomy classification?
The Medoptions Of Massachusetts Llc's specialty field is Gerontology, and it falls under the taxonomy code 163Wg0600X, which categorizes healthcare providers based on their specialties.
On what date was the 1053527028 assigned to Medoptions Of Massachusetts Llc?
The Medoptions Of Massachusetts Llc was issued its 1053527028 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Medoptions Of Massachusetts Llc's information last updated?
The Medoptions Of Massachusetts Llc's information was last updated on 2016-08-30.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC