Marven Leftick in Pawtucket - Specialist

Marven Leftick - NPI 1396720918

Marven Leftick is a Specialist in Pawtucket, Rhode Island. Marven Leftick practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marven Leftick is 1396720918. The last update date is 2013-09-23.

Marven Leftick's current location address is 407 East Ave, Pawtucket, Rhode Island. You can contact this provider via phone number 4013512280 and fax number 4017215709. The mailing address for Marven Leftick is 407 East Ave, Pawtucket, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Marven Leftick
Address 407 East Ave, Pawtucket, Rhode Island
Phone Number 4013512280
Fax Number 4017215709
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1396720918
Provider Enumeration Date 2005-12-07
Last Updated Date 2013-09-23

Provider Mailing Address Detail

Address 407 East Ave
City Pawtucket
State Rhode Island (RI)
Post Code 2860
Phone Number 4013512280
Fax Number 4017215709

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD10172
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
7007422 RI --

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FAQs about Marven Leftick

What is the unique 10-digit identifier code issued to Marven Leftick by the Centers for Medicare & Medicaid Services?

The Marven Leftick has been assigned the NPI (National Provider Identifier) 1396720918 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Marven Leftick?

The Marven Leftick is situated at 407 East Ave, in the city of Pawtucket, state of RI, with the zip code 2860.

What is Marven Leftick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Marven Leftick is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1396720918 to Marven Leftick?

The Centers for Medicare & Medicaid Services assigned the 1396720918 to Marven Leftick on 2005-12-07.

When was the information related to Marven Leftick most recently updated or refreshed?

The details pertaining to the Marven Leftick, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-23.

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