Jeffrey Louis Sugarman in Santa Rosa - Procedural Dermatology
Jeffrey Louis Sugarman - NPI 1548255482
Jeffrey Louis Sugarman is a Procedural Dermatology in Santa Rosa, California. Jeffrey Louis Sugarman practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Jeffrey Louis Sugarman is 1548255482. The last update date is 2017-03-28.
Jeffrey Louis Sugarman's current location address is 2725 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075454537 and fax number 7075456726. The mailing address for Jeffrey Louis Sugarman is 2725 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Louis Sugarman |
|---|---|
| Address | 2725 Mendocino Ave, Santa Rosa, California |
| Phone Number | 7075454537 |
| Fax Number | 7075456726 |
| Sole Proprietor | N |
| Credentials | M.D., PH.D |
NPI Number Detail
| NPI Number | 1548255482 |
|---|---|
| Provider Enumeration Date | 2005-09-16 |
| Last Updated Date | 2017-03-28 |
Provider Mailing Address Detail
| Address | 2725 Mendocino Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954032805 |
| Phone Number | 7075454537 |
| Fax Number | 7075456726 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | G85304 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1548255482 | CA | -- | |
| 00G853040 | CA | -- | |
| P01774457 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey Louis Sugarman by the Centers for Medicare & Medicaid Services?
The Jeffrey Louis Sugarman has been issued the NPI (National Provider Identifier) 1548255482 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeffrey Louis Sugarman?
The Jeffrey Louis Sugarman is situated at 2725 Mendocino Ave, in the city of Santa Rosa, state of CA, with the zip code 954032805.
What is Jeffrey Louis Sugarman'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 Jeffrey Louis Sugarman is Procedural Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207Ns0135X.
On what date did the Jeffrey Louis Sugarman receive the assignment of its 1548255482 from the Centers for Medicare & Medicaid Services?
The Jeffrey Louis Sugarman was issued its 1548255482 by the Centers for Medicare & Medicaid Services on 2005-09-16.
As of what date was the information regarding Jeffrey Louis Sugarman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeffrey Louis Sugarman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-03-28.
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