Candlelight Medical in Newark - Medical Genetics, Ph.d. Medical Genetics
Candlelight Medical - NPI 1578612479
Candlelight Medical is a Medical Genetics, Ph.d. Medical Genetics in Newark, New Jersey. Candlelight Medical practices all healthcare services and medical treatments related to Medical Genetics, Ph.d. Medical Genetics. The NPI Number for Candlelight Medical is 1578612479. The last update date is 2020-08-22.
Candlelight Medical's current location address is 195 Central Ave, Newark, New Jersey. You can contact this provider via phone number 9733538813 and fax number 9733538815. The mailing address for Candlelight Medical is 195 Central Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Candlelight Medical |
|---|---|
| Address | 195 Central Ave, Newark, New Jersey |
| Phone Number | 9733538813 |
| Fax Number | 9733538815 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Kinney Jackie |
| Telephone Number | 9733538813 |
NPI Number Detail
| NPI Number | 1578612479 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 195 Central Ave |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71033921 |
| Phone Number | 9733538813 |
| Fax Number | 9733538815 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Genetics, Ph.d. Medical Genetics |
|---|---|
| Taxonomy | 170100000X |
| Licence No | 25MA02378100 |
|
Definition: A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8848254 | NJ | -- | |
| 79871 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Candlelight Medical by the Centers for Medicare & Medicaid Services (CMS)?
The Candlelight Medical has been assigned the NPI (National Provider Identifier) 1578612479. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Candlelight Medical?
The Candlelight Medical is situated at 195 Central Ave, in the city of Newark, state of NJ, with the zip code 71033921.
What is the Candlelight Medical's area of specialization and corresponding taxonomy classification?
The Candlelight Medical's specialty field is Medical Genetics, Ph.d. Medical Genetics, and it falls under the taxonomy code 170100000X, which categorizes healthcare providers based on their specialties.
When did Candlelight Medical receive its 1578612479 assignment?
The Candlelight Medical was assigned its 1578612479 on 2007-01-09, which is the date when this unique identifier was issued to the organization.
When was the information regarding Candlelight Medical most recently updated?
The details pertaining to the Candlelight Medical, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
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