Theodore S Lederman in Waterloo - Internal Medicine

Theodore S Lederman - NPI 1417992272

Theodore S Lederman is a Internal Medicine in Waterloo, Iowa. Theodore S Lederman practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Theodore S Lederman is 1417992272. The last update date is 2007-07-16.

Theodore S Lederman's current location address is 2710 Saint Francis Dr, Waterloo, Iowa. You can contact this provider via phone number 3192725000 and fax number 3192725282. The mailing address for Theodore S Lederman is 2710 Saint Francis Dr, Waterloo, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore S Lederman
Address 2710 Saint Francis Dr, Waterloo, Iowa
Phone Number 3192725000
Fax Number 3192725282
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1417992272
Provider Enumeration Date 2006-06-17
Last Updated Date 2007-07-16

Provider Mailing Address Detail

Address 2710 Saint Francis Dr
City Waterloo
State Iowa (IA)
Post Code 507025619
Phone Number 3192725000
Fax Number 3192725282

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 18607
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
135517 IA --

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FAQs about Theodore S Lederman

What is the unique identifier code issued to Theodore S Lederman by the Centers for Medicare & Medicaid Services (CMS)?

The Theodore S Lederman has been assigned the NPI (National Provider Identifier) 1417992272. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Theodore S Lederman located?

The Theodore S Lederman is located at 2710 Saint Francis Dr, Waterloo, IA 507025619.

What is the area of specialization for Theodore S Lederman, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Theodore S Lederman is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

When did the Theodore S Lederman receive its 1417992272?

The Theodore S Lederman was issued its 1417992272 on 2006-06-17, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Theodore S Lederman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Theodore S Lederman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-16.

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