Edward John Broccoli in Chappaqua - Pain Medicine
Edward John Broccoli - NPI 1609866060
Edward John Broccoli is a Pain Medicine in Chappaqua, New York. Edward John Broccoli practices all healthcare services and medical treatments related to Pain Medicine. 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 |
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Address | 16 S Bedford Rd, Chappaqua, New York |
Phone Number | 9148442864 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1609866060 |
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Provider Enumeration Date | 2005-10-26 |
Last Updated Date | 2016-08-08 |
Provider Mailing Address Detail
Address | 16 S Bedford Rd |
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City | Chappaqua |
State | New York (NY) |
Post Code | 105143464 |
Phone Number | 9148442864 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pain Medicine |
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Taxonomy | 207Lp2900X |
Licence No | 1934481 |
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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 |
Post Comment/ Review Below
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 Pain Medicine, and it falls under the taxonomy code 207Lp2900X, 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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