Minati Pattanayak in Willingboro - Family Medicine

Minati Pattanayak - NPI 1700971215

Minati Pattanayak is a Family Medicine in Willingboro, New Jersey. Minati Pattanayak practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Minati Pattanayak is 1700971215. The last update date is 2007-07-08.

Minati Pattanayak's current location address is 89 Somerset Drive, Willingboro, New Jersey. You can contact this provider via phone number 6098774545 and fax number 6098775129. The mailing address for Minati Pattanayak is 89 Somerset Drive, Willingboro, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Minati Pattanayak
Address 89 Somerset Drive, Willingboro, New Jersey
Phone Number 6098774545
Fax Number 6098775129
Sole Proprietor Y
Credentials M.D, PC

NPI Number Detail

NPI Number 1700971215
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 89 Somerset Drive
City Willingboro
State New Jersey (NJ)
Post Code 8046
Phone Number 6098774545
Fax Number 6098775129

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MA41600
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3358909 NJ --

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FAQs about Minati Pattanayak

What is the unique 10-digit identifier code assigned to Minati Pattanayak by the Centers for Medicare & Medicaid Services?

The Minati Pattanayak has been issued the NPI (National Provider Identifier) 1700971215 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Minati Pattanayak's physical address?

The Minati Pattanayak is physically located at 89 Somerset Drive, in the city of Willingboro, NJ, with the postal code 8046.

What is Minati Pattanayak's specialized field of practice, and what is the corresponding taxonomy classification code?

The Minati Pattanayak's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1700971215 to Minati Pattanayak?

The Minati Pattanayak received its 1700971215 assignment from the Centers for Medicare & Medicaid Services on 2006-10-03.

As of what date were the details pertaining to Minati Pattanayak last refreshed?

The information related to the Minati Pattanayak, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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