Bruce A. Cassidy, D.O., Pc in Detroit - Internal Medicine

Bruce A. Cassidy, D.O., Pc - NPI 1053409268

Bruce A. Cassidy, D.O., Pc is a Internal Medicine in Detroit, Michigan. Bruce A. Cassidy, D.O., Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bruce A. Cassidy, D.O., Pc is 1053409268. The last update date is 2022-09-19.

Bruce A. Cassidy, D.O., Pc's current location address is Po Box 673102, Detroit, Michigan. You can contact this provider via phone number 2483082604 and fax number 2483082608. The mailing address for Bruce A. Cassidy, D.O., Pc is Po Box 673102, Detroit, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bruce A. Cassidy, D.O., Pc
Address Po Box 673102, Detroit, Michigan
Phone Number 2483082604
Fax Number 2483082608
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Mcgee Michelle
Telephone Number 2483082604

NPI Number Detail

NPI Number 1053409268
Provider Enumeration Date 2006-10-11
Last Updated Date 2022-09-19

Provider Mailing Address Detail

Address Po Box 673102
City Detroit
State Michigan (MI)
Post Code 482673102
Phone Number 2483082604
Fax Number 2483082608

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No BC013348
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
1156307745 MI BCBS
114334390 MI --
1770568198 MI INDIVIDUAL NPI
BC013348 MI MI STATE LICENSE

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FAQs about Bruce A. Cassidy, D.O., Pc

What is the unique identification code assigned to Bruce A. Cassidy, D.O., Pc by the Centers for Medicare & Medicaid Services?

The Bruce A. Cassidy, D.O., Pc has been issued the NPI (National Provider Identifier) 1053409268. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bruce A. Cassidy, D.O., Pc is physically located?

The Bruce A. Cassidy, D.O., Pc is situated at the following address: Po Box 673102, Detroit, MI 482673102.

What is Bruce A. Cassidy, D.O., Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bruce A. Cassidy, D.O., Pc's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Bruce A. Cassidy, D.O., Pc receive its 1053409268 assignment from the Centers for Medicare & Medicaid Services?

The Bruce A. Cassidy, D.O., Pc was assigned its 1053409268 by the Centers for Medicare & Medicaid Services on 2006-10-11.

As of what date were the details related to Bruce A. Cassidy, D.O., Pc most recently updated or revised?

The information pertaining to Bruce A. Cassidy, D.O., Pc, including its address, specialty, and other relevant details, was last updated or revised on 2022-09-19.

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