Vitaly E Ermolin in Norwell - Internal Medicine

Vitaly E Ermolin - NPI 1114901485

Vitaly E Ermolin is a Internal Medicine in Norwell, Massachusetts. Vitaly E Ermolin practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Vitaly E Ermolin is 1114901485. The last update date is 2019-11-04.

Vitaly E Ermolin's current location address is 141 Longwater Dr Ste 201, Norwell, Massachusetts. You can contact this provider via phone number 7817924136 and fax number 7818786750. The mailing address for Vitaly E Ermolin is 141 Longwater Dr Ste 201, Norwell, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Vitaly E Ermolin
Address 141 Longwater Dr Ste 201, Norwell, Massachusetts
Phone Number 7817924136
Fax Number 7818786750
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114901485
Provider Enumeration Date 2005-12-01
Last Updated Date 2019-11-04

Provider Mailing Address Detail

Address 141 Longwater Dr Ste 201
City Norwell
State Massachusetts (MA)
Post Code 20611620
Phone Number 7817924136
Fax Number 7818786750

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 246085
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
268992800 FL --

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FAQs about Vitaly E Ermolin

What is the unique identifier code issued to Vitaly E Ermolin by the Centers for Medicare & Medicaid Services (CMS)?

The Vitaly E Ermolin has been assigned the NPI (National Provider Identifier) 1114901485. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Vitaly E Ermolin?

The Vitaly E Ermolin is physically situated at 141 Longwater Dr Ste 201, in the city of Norwell, state of MA, with the postal code 20611620.

What is Vitaly E Ermolin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Vitaly E Ermolin's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date was the 1114901485 assigned to Vitaly E Ermolin?

The Vitaly E Ermolin was issued its 1114901485 on 2005-12-01, 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 regarding Vitaly E Ermolin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Vitaly E Ermolin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-04.

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