Douglas Jan Pravda in Kenilworth - Dermatology
Douglas Jan Pravda - NPI 1427020718
Douglas Jan Pravda is a Dermatology in Kenilworth, New Jersey. Douglas Jan Pravda practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Douglas Jan Pravda is 1427020718. The last update date is 2010-06-25.
Douglas Jan Pravda's current location address is 622 Boulevard, Kenilworth, New Jersey. You can contact this provider via phone number 9082413181 and fax number 9082411669. The mailing address for Douglas Jan Pravda is 622 Boulevard, Kenilworth, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Jan Pravda |
|---|---|
| Address | 622 Boulevard, Kenilworth, New Jersey |
| Phone Number | 9082413181 |
| Fax Number | 9082411669 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1427020718 |
|---|---|
| Provider Enumeration Date | 2006-02-02 |
| Last Updated Date | 2010-06-25 |
Provider Mailing Address Detail
| Address | 622 Boulevard |
|---|---|
| City | Kenilworth |
| State | New Jersey (NJ) |
| Post Code | 70331640 |
| Phone Number | 9082413181 |
| Fax Number | 9082411669 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 25MB03272500 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10664103 | NJ | UNIVERSAL CREDENTIALING | |
| US-292 | NH | OXFORD INSURANCE | |
| 127381096 | NJ | OTHER INSURANCE COMPANIES |
Post Comment/ Review Below
What is the unique identifier code issued to Douglas Jan Pravda by the Centers for Medicare & Medicaid Services?
The Douglas Jan Pravda has been assigned the NPI (National Provider Identifier) 1427020718. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Douglas Jan Pravda?
The Douglas Jan Pravda is physically situated at 622 Boulevard, in the city of Kenilworth, state of NJ, with the postal code 70331640.
What is Douglas Jan Pravda's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Douglas Jan Pravda is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Douglas Jan Pravda receive its 1427020718 assignment from the Centers for Medicare & Medicaid Services?
The Douglas Jan Pravda was assigned its 1427020718 by the Centers for Medicare & Medicaid Services on 2006-02-02.
When was the information pertaining to Douglas Jan Pravda most recently updated or revised?
The details related to Douglas Jan Pravda, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-25.