Pediatric House Call Pc in Newton - Specialist
Pediatric House Call Pc - NPI 1134189889
Pediatric House Call Pc is a Specialist in Newton, Massachusetts. Pediatric House Call Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pediatric House Call Pc is 1134189889. The last update date is 2009-04-29.
Pediatric House Call Pc's current location address is 56 Winchester St Ste 5, Newton, Massachusetts. You can contact this provider via phone number 6179165085 and fax number 6179165105. The mailing address for Pediatric House Call Pc is 56 Winchester St Ste 5, Newton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric House Call Pc |
|---|---|
| Address | 56 Winchester St Ste 5, Newton, Massachusetts |
| Phone Number | 6179165085 |
| Fax Number | 6179165105 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Stavitsky Igor |
| Credentials | MD |
| Telephone Number | 6179165085 |
NPI Number Detail
| NPI Number | 1134189889 |
|---|---|
| Provider Enumeration Date | 2006-03-26 |
| Last Updated Date | 2009-04-29 |
Provider Mailing Address Detail
| Address | 56 Winchester St Ste 5 |
|---|---|
| City | Newton |
| State | Massachusetts (MA) |
| Post Code | 24611730 |
| Phone Number | 6179165085 |
| Fax Number | 6179165105 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 77664 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3154882 | MA | -- | |
| A292941 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pediatric House Call Pc by the Centers for Medicare & Medicaid Services?
The Pediatric House Call Pc has been issued the NPI (National Provider Identifier) 1134189889. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pediatric House Call Pc located?
The Pediatric House Call Pc is located at 56 Winchester St Ste 5, Newton, MA 24611730.
What is Pediatric House Call Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pediatric House Call Pc is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
When was the Pediatric House Call Pc's 1134189889 issued?
The Pediatric House Call Pc's 1134189889 was issued on 2006-03-26.
When was the information related to Pediatric House Call Pc most recently updated or refreshed?
The details pertaining to the Pediatric House Call Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-04-29.