Frederick L Ballet in Marlton - Specialist

Frederick L Ballet - NPI 1902990443

Frederick L Ballet is a Specialist in Marlton, New Jersey. Frederick L Ballet practices all healthcare services and medical treatments related to Specialist. The NPI Number for Frederick L Ballet is 1902990443. The last update date is 2017-02-24.

Frederick L Ballet's current location address is 5000 Sagemore Drive, Marlton, New Jersey. You can contact this provider via phone number 8569834263 and fax number 8569839362. The mailing address for Frederick L Ballet is 5000 Sagemore Drive, Marlton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Frederick L Ballet
Address 5000 Sagemore Drive, Marlton, New Jersey
Phone Number 8569834263
Fax Number 8569839362
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1902990443
Provider Enumeration Date 2006-10-02
Last Updated Date 2017-02-24

Provider Mailing Address Detail

Address 5000 Sagemore Drive
City Marlton
State New Jersey (NJ)
Post Code 8053
Phone Number 8569834263
Fax Number 8569839362

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA41767
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
1245286 NJ UNITED HEALTHCARE
BNS014 NJ OXFORD
3733521B NJ CIGNA
1480000 NJ AMERIHEALTH
41165 NJ GHI
10272400 NJ KEYSTONE
157009 NJ GREAT WEST
2K1490 NJ HEALTHNET
4090690 NJ AETNA
6567F02205 NJ 1STOPTION

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FAQs about Frederick L Ballet

What is the unique 10-digit identification code issued to Frederick L Ballet by the Centers for Medicare & Medicaid Services?

The Frederick L Ballet has been assigned the NPI (National Provider Identifier) 1902990443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

What is Frederick L Ballet's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Frederick L Ballet is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did Frederick L Ballet receive its 1902990443 assignment?

The Frederick L Ballet was assigned its 1902990443 on 2006-10-02, which is the date when this unique identifier was issued to the organization.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902990443 to Frederick L Ballet?

The Centers for Medicare & Medicaid Services originally issued the 1902990443 to Frederick L Ballet on 2006-10-02.

As of what date were the details pertaining to Frederick L Ballet last refreshed?

The information related to the Frederick L Ballet, including its address, specialty, and other relevant details, was last updated on 2017-02-24.

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