Bonnie Ann Southworth in Brookline - Internal Medicine

Bonnie Ann Southworth - NPI 1891752291

Bonnie Ann Southworth is a Internal Medicine in Brookline, Massachusetts. Bonnie Ann Southworth practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bonnie Ann Southworth is 1891752291. The last update date is 2012-06-28.

Bonnie Ann Southworth's current location address is 111 Cypress St, Brookline, Massachusetts. You can contact this provider via phone number 8573070896. The mailing address for Bonnie Ann Southworth is 111 Cypress St, Brookline, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Bonnie Ann Southworth
Address 111 Cypress St, Brookline, Massachusetts
Phone Number 8573070896
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891752291
Provider Enumeration Date 2006-04-28
Last Updated Date 2012-06-28

Provider Mailing Address Detail

Address 111 Cypress St
City Brookline
State Massachusetts (MA)
Post Code 2445
Phone Number 8573070896
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 79458
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
3128580 MA --

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FAQs about Bonnie Ann Southworth

What is the unique identifier code issued to Bonnie Ann Southworth by the Centers for Medicare & Medicaid Services?

The Bonnie Ann Southworth has been assigned the NPI (National Provider Identifier) 1891752291. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Bonnie Ann Southworth?

The Bonnie Ann Southworth is situated at 111 Cypress St, in the city of Brookline, state of MA, with the zip code 2445.

What is the Bonnie Ann Southworth's area of specialization and corresponding taxonomy classification?

The Bonnie Ann Southworth'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 was the 1891752291 assigned to Bonnie Ann Southworth?

The Bonnie Ann Southworth was issued its 1891752291 on 2006-04-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bonnie Ann Southworth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bonnie Ann Southworth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-28.

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