Simon M Cornelissen in Stoughton - Specialist
Simon M Cornelissen - NPI 1699759415
Simon M Cornelissen is a Specialist in Stoughton, Massachusetts. Simon M Cornelissen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Simon M Cornelissen is 1699759415. The last update date is 2013-08-16.
Simon M Cornelissen's current location address is Po Box 30, Stoughton, Massachusetts. You can contact this provider via phone number 7813443535 and fax number 5085350192. The mailing address for Simon M Cornelissen is Po Box 30, Stoughton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | Simon M Cornelissen |
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Address | Po Box 30, Stoughton, Massachusetts |
Phone Number | 7813443535 |
Fax Number | 5085350192 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1699759415 |
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Provider Enumeration Date | 2005-12-05 |
Last Updated Date | 2013-08-16 |
Provider Mailing Address Detail
Address | Po Box 30 |
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City | Stoughton |
State | Massachusetts (MA) |
Post Code | 20720030 |
Phone Number | 7813443535 |
Fax Number | 5085350192 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 208328 |
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 |
---|---|---|---|
143821 | MA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Simon M Cornelissen by the Centers for Medicare & Medicaid Services (CMS)?
The Simon M Cornelissen has been assigned the NPI (National Provider Identifier) 1699759415. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Simon M Cornelissen is physically located?
The Simon M Cornelissen is situated at the following address: Po Box 30, Stoughton, MA 20720030.
What is Simon M Cornelissen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Simon M Cornelissen is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1699759415 to Simon M Cornelissen?
The Simon M Cornelissen received its 1699759415 assignment from the Centers for Medicare & Medicaid Services on 2005-12-05.
As of what date was the information regarding Simon M Cornelissen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Simon M Cornelissen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-16.