Richard Paul Dibala in Mansfield Center - Family Medicine
Richard Paul Dibala - NPI 1407968050
Richard Paul Dibala is a Family Medicine in Mansfield Center, Connecticut. Richard Paul Dibala practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Richard Paul Dibala is 1407968050. The last update date is 2008-05-29.
Richard Paul Dibala's current location address is 16 Jacobs Hill Rd, Mansfield Center, Connecticut. You can contact this provider via phone number 8604562863. The mailing address for Richard Paul Dibala is 16 Jacobs Hill Rd, Mansfield Center, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Paul Dibala |
|---|---|
| Address | 16 Jacobs Hill Rd, Mansfield Center, Connecticut |
| Phone Number | 8604562863 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407968050 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 16 Jacobs Hill Rd |
|---|---|
| City | Mansfield Center |
| State | Connecticut (CT) |
| Post Code | 62501650 |
| Phone Number | 8604562863 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 22511 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1225119 | CT | -- | |
| 80001969 | CT | MEDICARE ID |
Post Comment/ Review Below
What is the unique identifier code issued to Richard Paul Dibala by the Centers for Medicare & Medicaid Services (CMS)?
The Richard Paul Dibala has been assigned the NPI (National Provider Identifier) 1407968050. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Richard Paul Dibala's facilities are situated?
The facilities of Richard Paul Dibala are physically located at the following address: 16 Jacobs Hill Rd, Mansfield Center, CT, 62501650.
What is the Richard Paul Dibala's specialty and taxonomy code?
The Richard Paul Dibala's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1407968050 to Richard Paul Dibala?
The Richard Paul Dibala received its 1407968050 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.
When was the information regarding Richard Paul Dibala, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Richard Paul Dibala, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-29.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN