Edward John Broccoli in Chappaqua - Anesthesiology

Edward John Broccoli - NPI 1609866060

Edward John Broccoli is a Anesthesiology in Chappaqua, New York. Edward John Broccoli practices all healthcare services and medical treatments related to Anesthesiology. The NPI Number for Edward John Broccoli is 1609866060. The last update date is 2016-08-08.

Edward John Broccoli's current location address is 16 S Bedford Rd, Chappaqua, New York. You can contact this provider via phone number 9148442864. The mailing address for Edward John Broccoli is 16 S Bedford Rd, Chappaqua, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward John Broccoli
Address 16 S Bedford Rd, Chappaqua, New York
Phone Number 9148442864
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1609866060
Provider Enumeration Date 2005-10-26
Last Updated Date 2016-08-08

Provider Mailing Address Detail

Address 16 S Bedford Rd
City Chappaqua
State New York (NY)
Post Code 105143464
Phone Number 9148442864
Fax Number

Provider's Primary Taxonomy Detail

Speciality Anesthesiology
Taxonomy 207L00000X
Licence No 1934481
Definition:
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4487677 NY AETNA US HEALTHCARE PPO
5398369 NY HEALTH NET
8K819 NY EMPIRE BCBS
3129240 NY AETNA US HEALTHCARE HMO
5398370 NY GHI
P2823545 NY OXFORD

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FAQs about Edward John Broccoli

What is the unique provider identifier assigned to Edward John Broccoli?

The Edward John Broccoli has been issued the NPI (National Provider Identifier) 1609866060 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Edward John Broccoli is located?

The Edward John Broccoli is situated at the following address: 16 S Bedford Rd, Chappaqua, NY, 105143464.

What is the Edward John Broccoli's area of specialization and corresponding taxonomy classification?

The Edward John Broccoli's specialty field is Anesthesiology, and it falls under the taxonomy code 207L00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1609866060 to Edward John Broccoli?

The Centers for Medicare & Medicaid Services assigned the 1609866060 to Edward John Broccoli on 2005-10-26.

As of what date were the Edward John Broccoli's details last updated?

The information pertaining to the Edward John Broccoli, including its address, specialty, and other details, was most recently updated on 2016-08-08.

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