Glenn L Nudelman in Lake Havasu City - Specialist

Glenn L Nudelman - NPI 1346242427

Glenn L Nudelman is a Specialist in Lake Havasu City, Arizona. Glenn L Nudelman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Glenn L Nudelman is 1346242427. The last update date is 2022-07-29.

Glenn L Nudelman's current location address is 2191 Chip Dr, Lake Havasu City, Arizona. You can contact this provider via phone number 9284864387 and fax number 9283023515. The mailing address for Glenn L Nudelman is 2191 Chip Dr, Lake Havasu City, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn L Nudelman
Address 2191 Chip Dr, Lake Havasu City, Arizona
Phone Number 9284864387
Fax Number 9283023515
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1346242427
Provider Enumeration Date 2005-08-10
Last Updated Date 2022-07-29

Provider Mailing Address Detail

Address 2191 Chip Dr
City Lake Havasu City
State Arizona (AZ)
Post Code 864067645
Phone Number 9284864387
Fax Number 9283023515

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 14122
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110044210 AZ RAILROAD MEDICARE

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FAQs about Glenn L Nudelman

What is the unique 10-digit identification code assigned to Glenn L Nudelman by the Centers for Medicare & Medicaid Services?

The Glenn L Nudelman has been issued the NPI (National Provider Identifier) 1346242427, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Glenn L Nudelman is physically located?

The Glenn L Nudelman is situated at the following address: 2191 Chip Dr, Lake Havasu City, AZ 864067645.

What is the area of specialization for Glenn L Nudelman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Glenn L Nudelman is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

When did the Glenn L Nudelman receive its 1346242427?

The Glenn L Nudelman was issued its 1346242427 on 2005-08-10, which is the date when the organization was assigned this unique identifier.

As of what date were the Glenn L Nudelman's details last updated?

The information pertaining to the Glenn L Nudelman, including its address, specialty, and other details, was most recently updated on 2022-07-29.

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