Providential Medical Center Pc in Red Bank - Specialist
Providential Medical Center Pc - NPI 1487840203
Providential Medical Center Pc is a Specialist in Red Bank, New Jersey. Providential Medical Center Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Providential Medical Center Pc is 1487840203. The last update date is 2011-02-14.
Providential Medical Center Pc's current location address is 66 Bridge Ave # C, Red Bank, New Jersey. You can contact this provider via phone number 7327476600. The mailing address for Providential Medical Center Pc is 66 Bridge Ave # C, Red Bank, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providential Medical Center Pc |
|---|---|
| Address | 66 Bridge Ave # C, Red Bank, New Jersey |
| Phone Number | 7327476600 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hyppolite David |
| Credentials | MD |
| Telephone Number | 7327476600 |
NPI Number Detail
| NPI Number | 1487840203 |
|---|---|
| Provider Enumeration Date | 2007-09-16 |
| Last Updated Date | 2011-02-14 |
Provider Mailing Address Detail
| Address | 66 Bridge Ave # C |
|---|---|
| City | Red Bank |
| State | New Jersey (NJ) |
| Post Code | 77016410 |
| Phone Number | 7327476600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA61338 |
|
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 unique provider identifier assigned to Providential Medical Center Pc?
The Providential Medical Center Pc has been issued the NPI (National Provider Identifier) 1487840203 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Providential Medical Center Pc?
The Providential Medical Center Pc is situated at 66 Bridge Ave # C, in the city of Red Bank, state of NJ, with the zip code 77016410.
What is the Providential Medical Center Pc's specialty and taxonomy code?
The Providential Medical Center Pc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Providential Medical Center Pc receive its 1487840203 assignment from the Centers for Medicare & Medicaid Services?
The Providential Medical Center Pc was assigned its 1487840203 on 2007-09-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Providential Medical Center Pc most recently updated or refreshed?
The details pertaining to the Providential Medical Center Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-02-14.
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