Jeffrey Dean Pittis in Bangor - Dermatology
Jeffrey Dean Pittis - NPI 1023006194
Jeffrey Dean Pittis is a Dermatology in Bangor, Maine. Jeffrey Dean Pittis practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jeffrey Dean Pittis is 1023006194. The last update date is 2007-07-08.
Jeffrey Dean Pittis's current location address is 90 Ridgewood Dr, Bangor, Maine. You can contact this provider via phone number 2079420669 and fax number 2079473143. The mailing address for Jeffrey Dean Pittis is 90 Ridgewood Dr, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Dean Pittis |
|---|---|
| Address | 90 Ridgewood Dr, Bangor, Maine |
| Phone Number | 2079420669 |
| Fax Number | 2079473143 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023006194 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 90 Ridgewood Dr |
|---|---|
| City | Bangor |
| State | Maine (ME) |
| Post Code | 44012652 |
| Phone Number | 2079420669 |
| Fax Number | 2079473143 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME013153 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique identification code assigned to Jeffrey Dean Pittis by the Centers for Medicare & Medicaid Services?
The Jeffrey Dean Pittis has been issued the NPI (National Provider Identifier) 1023006194. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jeffrey Dean Pittis located?
The Jeffrey Dean Pittis is located at 90 Ridgewood Dr, Bangor, ME 44012652.
What is the Jeffrey Dean Pittis's specialty and taxonomy code?
The Jeffrey Dean Pittis's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1023006194 to Jeffrey Dean Pittis?
The Jeffrey Dean Pittis received its 1023006194 assignment from the Centers for Medicare & Medicaid Services on 2005-10-12.
As of what date were the Jeffrey Dean Pittis's details last updated?
The information pertaining to the Jeffrey Dean Pittis, including its address, specialty, and other details, was most recently updated on 2007-07-08.