Fremont Dermatology Medical Office in Fremont - Specialist
Fremont Dermatology Medical Office - NPI 1841487337
Fremont Dermatology Medical Office is a Specialist in Fremont, California. Fremont Dermatology Medical Office practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fremont Dermatology Medical Office is 1841487337. The last update date is 2008-09-26.
Fremont Dermatology Medical Office's current location address is 39210 State St Ste 218, Fremont, California. You can contact this provider via phone number 5107900477. The mailing address for Fremont Dermatology Medical Office is 39210 State St Ste 218, Fremont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fremont Dermatology Medical Office |
|---|---|
| Address | 39210 State St Ste 218, Fremont, California |
| Phone Number | 5107900477 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Gorsulowsky C David |
| Credentials | M.D. |
| Telephone Number | 5107900477 |
NPI Number Detail
| NPI Number | 1841487337 |
|---|---|
| Provider Enumeration Date | 2007-09-27 |
| Last Updated Date | 2008-09-26 |
Provider Mailing Address Detail
| Address | 39210 State St Ste 218 |
|---|---|
| City | Fremont |
| State | California (CA) |
| Post Code | 945381456 |
| Phone Number | 5107900477 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | C042190 |
|
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 |
|---|---|---|---|
| A37754 | CA | UPIN | |
| 70008967 | CA | RAILROAD MEDICARE ID |
Post Comment/ Review Below
What is the unique identification code assigned to Fremont Dermatology Medical Office by the Centers for Medicare & Medicaid Services?
The Fremont Dermatology Medical Office has been issued the NPI (National Provider Identifier) 1841487337. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Fremont Dermatology Medical Office's facilities are geographically located?
The facilities of Fremont Dermatology Medical Office are physically situated at the following location: 39210 State St Ste 218, Fremont, CA, 945381456.
What is Fremont Dermatology Medical Office's area of expertise and its corresponding taxonomy classification?
The Fremont Dermatology Medical Office's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1841487337 assigned to Fremont Dermatology Medical Office?
The Fremont Dermatology Medical Office was issued its 1841487337 on 2007-09-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Fremont Dermatology Medical Office, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fremont Dermatology Medical Office, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-26.