Rodney J. Larsen in Agawam - Specialist

Rodney J. Larsen - NPI 1518042571

Rodney J. Larsen is a Specialist in Agawam, Massachusetts. Rodney J. Larsen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Rodney J. Larsen is 1518042571. The last update date is 2008-06-11.

Rodney J. Larsen's current location address is 1 S End Bridge Cir, Agawam, Massachusetts. You can contact this provider via phone number 4137869636 and fax number 4137896818. The mailing address for Rodney J. Larsen is 1 S End Bridge Cir, Agawam, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Rodney J. Larsen
Address 1 S End Bridge Cir, Agawam, Massachusetts
Phone Number 4137869636
Fax Number 4137896818
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1518042571
Provider Enumeration Date 2006-10-26
Last Updated Date 2008-06-11

Provider Mailing Address Detail

Address 1 S End Bridge Cir
City Agawam
State Massachusetts (MA)
Post Code 10012020
Phone Number 4137869636
Fax Number 4137896818

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 38727
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
2058146 MA --

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FAQs about Rodney J. Larsen

What is the unique 10-digit identification code issued to Rodney J. Larsen by the Centers for Medicare & Medicaid Services?

The Rodney J. Larsen has been assigned the NPI (National Provider Identifier) 1518042571 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Rodney J. Larsen is located?

The Rodney J. Larsen is situated at the following address: 1 S End Bridge Cir, Agawam, MA, 10012020.

What is Rodney J. Larsen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Rodney J. Larsen is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Rodney J. Larsen receive the assignment of its 1518042571 from the Centers for Medicare & Medicaid Services?

The Rodney J. Larsen was issued its 1518042571 by the Centers for Medicare & Medicaid Services on 2006-10-26.

As of what date was the information regarding Rodney J. Larsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Rodney J. Larsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-11.

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