John J Croke is a Dermatology in Boston, Massachusetts. John J Croke practices all healthcare services and medical treatments related to Dermatology. The NPI Number for John J Croke is 1013994649. The last update date is 2014-05-20.
John J Croke's current location address is 725 Albany St, Boston, Massachusetts. You can contact this provider via phone number 6176387420 and fax number 6176387289. The mailing address for John J Croke is 725 Albany St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
Provider Name | John J Croke |
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Address | 725 Albany St, Boston, Massachusetts |
Phone Number | 6176387420 |
Fax Number | 6176387289 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1013994649 |
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Provider Enumeration Date | 2005-12-23 |
Last Updated Date | 2014-05-20 |
Provider Mailing Address Detail
Address | 725 Albany St |
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City | Boston |
State | Massachusetts (MA) |
Post Code | 21182526 |
Phone Number | 6176387420 |
Fax Number | 6176387289 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | 59427 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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110056889A | MA | -- |
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What is the unique identifier code issued to John J Croke by the Centers for Medicare & Medicaid Services?
The John J Croke has been assigned the NPI (National Provider Identifier) 1013994649. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John J Croke?
The John J Croke is situated at 725 Albany St, in the city of Boston, state of MA, with the zip code 21182526.
What is the area of specialization for John J Croke, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John J Croke is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date was the 1013994649 assigned to John J Croke?
The John J Croke was issued its 1013994649 on 2005-12-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to John J Croke most recently updated or revised?
The information pertaining to John J Croke, including its address, specialty, and other relevant details, was last updated or revised on 2014-05-20.
NPI Number: 1215930425
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