Charles J Licata in Bristol - Internal Medicine
Charles J Licata - NPI 1538172523
Charles J Licata is a Internal Medicine in Bristol, Connecticut. Charles J Licata practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Charles J Licata is 1538172523. The last update date is 2007-07-08.
Charles J Licata's current location address is 625 Clark Ave, Bristol, Connecticut. You can contact this provider via phone number 8605837700 and fax number 8605897656. The mailing address for Charles J Licata is 625 Clark Ave, Bristol, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles J Licata |
|---|---|
| Address | 625 Clark Ave, Bristol, Connecticut |
| Phone Number | 8605837700 |
| Fax Number | 8605897656 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1538172523 |
|---|---|
| Provider Enumeration Date | 2006-08-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 625 Clark Ave |
|---|---|
| City | Bristol |
| State | Connecticut (CT) |
| Post Code | 60104068 |
| Phone Number | 8605837700 |
| Fax Number | 8605897656 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 359 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charles J Licata by the Centers for Medicare & Medicaid Services?
The Charles J Licata has been assigned the NPI (National Provider Identifier) 1538172523 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Charles J Licata is physically located?
The Charles J Licata is physically situated at the following address: 625 Clark Ave, Bristol, CT, 60104068.
What is the Charles J Licata's area of specialization and corresponding taxonomy classification?
The Charles J Licata's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.
On what date did Charles J Licata receive its 1538172523 assignment from the Centers for Medicare & Medicaid Services?
The Charles J Licata was assigned its 1538172523 on 2006-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Charles J Licata, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles J Licata, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.