Pengwynne P Blevins in East Boston - Internal Medicine
Pengwynne P Blevins - NPI 1316925795
Pengwynne P Blevins is a Internal Medicine in East Boston, Massachusetts. Pengwynne P Blevins practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Pengwynne P Blevins is 1316925795. The last update date is 2007-07-08.
Pengwynne P Blevins's current location address is 10 Gove St, East Boston, Massachusetts. You can contact this provider via phone number 6175695800 and fax number 6175684780. The mailing address for Pengwynne P Blevins is 10 Gove St, East Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pengwynne P Blevins |
|---|---|
| Address | 10 Gove St, East Boston, Massachusetts |
| Phone Number | 6175695800 |
| Fax Number | 6175684780 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316925795 |
|---|---|
| Provider Enumeration Date | 2006-01-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10 Gove St |
|---|---|
| City | East Boston |
| State | Massachusetts (MA) |
| Post Code | 21281920 |
| Phone Number | 6175695800 |
| Fax Number | 6175684780 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 31897 |
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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 |
|---|---|---|---|
| 108731 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pengwynne P Blevins by the Centers for Medicare & Medicaid Services?
The Pengwynne P Blevins has been issued the NPI (National Provider Identifier) 1316925795. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Pengwynne P Blevins?
The Pengwynne P Blevins is situated at 10 Gove St, in the city of East Boston, state of MA, with the zip code 21281920.
What is the area of specialization for Pengwynne P Blevins, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pengwynne P Blevins is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316925795 to Pengwynne P Blevins?
The Pengwynne P Blevins received its 1316925795 assignment from the Centers for Medicare & Medicaid Services on 2006-01-05.
As of what date were the details related to Pengwynne P Blevins most recently updated or revised?
The information pertaining to Pengwynne P Blevins, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.