John Elliott Boccaccio in Grosse Pointe Woods - Specialist
John Elliott Boccaccio - NPI 1164463758
John Elliott Boccaccio is a Specialist in Grosse Pointe Woods, Michigan. John Elliott Boccaccio practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Elliott Boccaccio is 1164463758. The last update date is 2007-07-09.
John Elliott Boccaccio's current location address is 19229 Mack Ave, Grosse Pointe Woods, Michigan. You can contact this provider via phone number 3138851520 and fax number 3138851740. The mailing address for John Elliott Boccaccio is 19229 Mack Ave, Grosse Pointe Woods, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Elliott Boccaccio |
|---|---|
| Address | 19229 Mack Ave, Grosse Pointe Woods, Michigan |
| Phone Number | 3138851520 |
| Fax Number | 3138851740 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1164463758 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 19229 Mack Ave |
|---|---|
| City | Grosse Pointe Woods |
| State | Michigan (MI) |
| Post Code | 482362858 |
| Phone Number | 3138851520 |
| Fax Number | 3138851740 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301047282 |
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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 |
|---|---|---|---|
| 2583645 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Elliott Boccaccio by the Centers for Medicare & Medicaid Services?
The John Elliott Boccaccio has been assigned the NPI (National Provider Identifier) 1164463758. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where John Elliott Boccaccio's facilities are geographically located?
The facilities of John Elliott Boccaccio are physically situated at the following location: 19229 Mack Ave, Grosse Pointe Woods, MI, 482362858.
What is the John Elliott Boccaccio's specialty and taxonomy code?
The John Elliott Boccaccio's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the John Elliott Boccaccio receive its 1164463758?
The John Elliott Boccaccio was issued its 1164463758 on 2006-06-08, which is the date when the organization was assigned this unique identifier.
When was the information related to John Elliott Boccaccio most recently updated or refreshed?
The details pertaining to the John Elliott Boccaccio, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.
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