John Robert West in Mystic - Mohs-micrographic Surgery
John Robert West - NPI 1487606117
John Robert West is a Mohs-micrographic Surgery in Mystic, Connecticut. John Robert West practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for John Robert West is 1487606117. The last update date is 2014-10-28.
John Robert West's current location address is 34 Water Street, Mystic, Connecticut. You can contact this provider via phone number 8605729994 and fax number 8605729930. The mailing address for John Robert West is 34 Water Street, Mystic, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Robert West |
|---|---|
| Address | 34 Water Street, Mystic, Connecticut |
| Phone Number | 8605729994 |
| Fax Number | 8605729930 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487606117 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2014-10-28 |
Provider Mailing Address Detail
| Address | 34 Water Street |
|---|---|
| City | Mystic |
| State | Connecticut (CT) |
| Post Code | 6355 |
| Phone Number | 8605729994 |
| Fax Number | 8605729930 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
| Licence No | G61079 |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010044204CT01 | CT | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the John Robert West's unique identification number?
The John Robert West has been assigned the NPI (National Provider Identifier) Number 1487606117 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where John Robert West is located?
The John Robert West is situated at the following address: 34 Water Street, Mystic, CT, 6355.
What is the John Robert West's specialty and taxonomy code?
The John Robert West's specialty is Mohs-micrographic Surgery, and the corresponding taxonomy code is 207Nd0101X.
On what date did the John Robert West receive its 1487606117 assignment from the Centers for Medicare & Medicaid Services?
The John Robert West was assigned its 1487606117 by the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the information pertaining to John Robert West most recently updated or revised?
The details related to John Robert West, including its address, specialty, and other relevant information, were last updated or revised on 2014-10-28.
NPI Number: 1215930425
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