Bloomfield Hills Pediatrics in Bloomfield Hills - Specialist

Bloomfield Hills Pediatrics - NPI 1346361946

Bloomfield Hills Pediatrics is a Specialist in Bloomfield Hills, Michigan. Bloomfield Hills Pediatrics practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bloomfield Hills Pediatrics is 1346361946. The last update date is 2020-08-22.

Bloomfield Hills Pediatrics's current location address is 43750 Woodward Ave, Bloomfield Hills, Michigan. You can contact this provider via phone number 2483346000 and fax number 2483348740. The mailing address for Bloomfield Hills Pediatrics is 43750 Woodward Ave, Bloomfield Hills, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bloomfield Hills Pediatrics
Address 43750 Woodward Ave, Bloomfield Hills, Michigan
Phone Number 2483346000
Fax Number 2483348740
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Baraceros Nitura Fidelina
Credentials MD
Telephone Number 2483346000

NPI Number Detail

NPI Number 1346361946
Provider Enumeration Date 2007-04-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 43750 Woodward Ave
City Bloomfield Hills
State Michigan (MI)
Post Code 483025063
Phone Number 2483346000
Fax Number 2483348740

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No FB035468
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
3506341231 BCBS PROVID ID #
101152 MERCY HEALTH PLAN ID
FB035468 MI STATE LICENSURE NUMBER

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FAQs about Bloomfield Hills Pediatrics

What is the unique identification code assigned to Bloomfield Hills Pediatrics by the Centers for Medicare & Medicaid Services?

The Bloomfield Hills Pediatrics has been issued the NPI (National Provider Identifier) 1346361946. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Bloomfield Hills Pediatrics's facilities are geographically located?

The facilities of Bloomfield Hills Pediatrics are physically situated at the following location: 43750 Woodward Ave, Bloomfield Hills, MI, 483025063.

What is the Bloomfield Hills Pediatrics's area of specialization and corresponding taxonomy classification?

The Bloomfield Hills Pediatrics's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1346361946 to Bloomfield Hills Pediatrics?

The Centers for Medicare & Medicaid Services assigned the 1346361946 to Bloomfield Hills Pediatrics on 2007-04-02.

As of what date were the details related to Bloomfield Hills Pediatrics most recently updated or revised?

The information pertaining to Bloomfield Hills Pediatrics, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.

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