Dorothea Addo in Fort Wayne - Internal Medicine

Dorothea Addo - NPI 1063478360

Dorothea Addo is a Internal Medicine in Fort Wayne, Indiana. Dorothea Addo practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dorothea Addo is 1063478360. The last update date is 2023-08-29.

Dorothea Addo's current location address is 2622 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604253100 and fax number 2604253604. The mailing address for Dorothea Addo is 2622 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Dorothea Addo
Address 2622 Lake Ave, Fort Wayne, Indiana
Phone Number 2604253100
Fax Number 2604253604
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1063478360
Provider Enumeration Date 2006-04-25
Last Updated Date 2023-08-29

Provider Mailing Address Detail

Address 2622 Lake Ave
City Fort Wayne
State Indiana (IN)
Post Code 468055410
Phone Number 2604253100
Fax Number 2604253604

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 01045551A
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200163320 IN --

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FAQs about Dorothea Addo

What is the unique 10-digit identification code issued to Dorothea Addo by the Centers for Medicare & Medicaid Services?

The Dorothea Addo has been assigned the NPI (National Provider Identifier) 1063478360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Dorothea Addo's facilities are situated?

The facilities of Dorothea Addo are physically located at the following address: 2622 Lake Ave, Fort Wayne, IN, 468055410.

What is the Dorothea Addo's area of specialization and corresponding taxonomy classification?

The Dorothea Addo's specialty field is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their specialties.

When did Dorothea Addo receive its 1063478360 assignment?

The Dorothea Addo was assigned its 1063478360 on 2006-04-25, which is the date when this unique identifier was issued to the organization.

When was the information regarding Dorothea Addo most recently updated?

The details pertaining to the Dorothea Addo, including its address, specialty, and other relevant information, were last refreshed on 2023-08-29.

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