Ida P Gorenburg in Wellesley - Internal Medicine
Ida P Gorenburg - NPI 1053386771
Ida P Gorenburg is a Internal Medicine in Wellesley, Massachusetts. Ida P Gorenburg practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Ida P Gorenburg is 1053386771. The last update date is 2020-10-14.
Ida P Gorenburg's current location address is 230 Worcester St, Wellesley, Massachusetts. You can contact this provider via phone number 7814315220 and fax number 7814315526. The mailing address for Ida P Gorenburg is 230 Worcester St, Wellesley, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ida P Gorenburg |
|---|---|
| Address | 230 Worcester St, Wellesley, Massachusetts |
| Phone Number | 7814315220 |
| Fax Number | 7814315526 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053386771 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2020-10-14 |
Provider Mailing Address Detail
| Address | 230 Worcester St |
|---|---|
| City | Wellesley |
| State | Massachusetts (MA) |
| Post Code | 24815420 |
| Phone Number | 7814315220 |
| Fax Number | 7814315526 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 220258 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| J27748 | MA | BLUE CROSS | |
| 469328 | MA | TUFTS | |
| 2064090 | MA | -- | |
| AA12995 | MA | HARVARD PILGRIM |
Post Comment/ Review Below
What is the Ida P Gorenburg's unique identification number?
The Ida P Gorenburg has been assigned the NPI (National Provider Identifier) Number 1053386771 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Ida P Gorenburg is physically located?
The Ida P Gorenburg is physically situated at the following address: 230 Worcester St, Wellesley, MA, 24815420.
What is Ida P Gorenburg's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ida P Gorenburg's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When was the Ida P Gorenburg's 1053386771 issued?
The Ida P Gorenburg's 1053386771 was issued on 2006-02-17.
When was the information pertaining to Ida P Gorenburg most recently updated or revised?
The details related to Ida P Gorenburg, including its address, specialty, and other relevant information, were last updated or revised on 2020-10-14.
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