Cathedral Physician Services, P.C. in Newark - Specialist
Cathedral Physician Services, P.C. - NPI 1720032964
Cathedral Physician Services, P.C. is a Specialist in Newark, New Jersey. Cathedral Physician Services, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Cathedral Physician Services, P.C. is 1720032964. The last update date is 2020-08-22.
Cathedral Physician Services, P.C.'s current location address is 111 Central Ave, Newark, New Jersey. You can contact this provider via phone number 9738775300 and fax number 9738772621. The mailing address for Cathedral Physician Services, P.C. is 111 Central Ave, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Cathedral Physician Services, P.C. |
|---|---|
| Address | 111 Central Ave, Newark, New Jersey |
| Phone Number | 9738775300 |
| Fax Number | 9738772621 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Connolly Mark |
| Telephone Number | 9738775300 |
NPI Number Detail
| NPI Number | 1720032964 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 111 Central Ave |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71021909 |
| Phone Number | 9738775300 |
| Fax Number | 9738772621 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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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What is the Cathedral Physician Services, P.C.'s 1720032964?
The Cathedral Physician Services, P.C.'s NPI (National Provider Identifier) Number is 1720032964. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Cathedral Physician Services, P.C. located?
The Cathedral Physician Services, P.C. is located at 111 Central Ave, Newark, NJ 71021909.
What is Cathedral Physician Services, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Cathedral Physician Services, P.C. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720032964 to Cathedral Physician Services, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1720032964 to Cathedral Physician Services, P.C. on 2006-05-20.
When was the Cathedral Physician Services, P.C.'s information last updated?
The Cathedral Physician Services, P.C.'s information was last updated on 2020-08-22.