Northeast Ear Nose And Throat Center Pa in Kannapolis - Specialist

Northeast Ear Nose And Throat Center Pa - NPI 1699739193

Northeast Ear Nose And Throat Center Pa is a Specialist in Kannapolis, North Carolina. Northeast Ear Nose And Throat Center Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Northeast Ear Nose And Throat Center Pa is 1699739193. The last update date is 2013-07-10.

Northeast Ear Nose And Throat Center Pa's current location address is 3003 Dale Earnhardt Blvd, Kannapolis, North Carolina. You can contact this provider via phone number 7047881103 and fax number 7047861414. The mailing address for Northeast Ear Nose And Throat Center Pa is 3003 Dale Earnhardt Blvd, Kannapolis, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northeast Ear Nose And Throat Center Pa
Address 3003 Dale Earnhardt Blvd, Kannapolis, North Carolina
Phone Number 7047881103
Fax Number 7047861414
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Dziadziola K James
Credentials MD
Telephone Number 7047881103

NPI Number Detail

NPI Number 1699739193
Provider Enumeration Date 2006-04-13
Last Updated Date 2013-07-10

Provider Mailing Address Detail

Address 3003 Dale Earnhardt Blvd
City Kannapolis
State North Carolina (NC)
Post Code 280831406
Phone Number 7047881103
Fax Number 7047861414

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 9700538
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
8901322 NC --
1322 NC BCBSNC

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FAQs about Northeast Ear Nose And Throat Center Pa

What is the Northeast Ear Nose And Throat Center Pa's unique identification number?

The Northeast Ear Nose And Throat Center Pa has been assigned the NPI (National Provider Identifier) Number 1699739193 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Northeast Ear Nose And Throat Center Pa's facilities are geographically located?

The facilities of Northeast Ear Nose And Throat Center Pa are physically situated at the following location: 3003 Dale Earnhardt Blvd, Kannapolis, NC, 280831406.

What is Northeast Ear Nose And Throat Center Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Northeast Ear Nose And Throat Center Pa's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1699739193 to Northeast Ear Nose And Throat Center Pa?

The Centers for Medicare & Medicaid Services assigned the 1699739193 to Northeast Ear Nose And Throat Center Pa on 2006-04-13.

When was the information related to Northeast Ear Nose And Throat Center Pa most recently updated or refreshed?

The details pertaining to the Northeast Ear Nose And Throat Center Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-10.

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