Michelle Maria Taclob in Paterson - Internal Medicine

Michelle Maria Taclob - NPI 1619131398

Michelle Maria Taclob is a Internal Medicine in Paterson, New Jersey. Michelle Maria Taclob practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Michelle Maria Taclob is 1619131398. The last update date is 2012-03-30.

Michelle Maria Taclob's current location address is 100 Main St, Paterson, New Jersey. You can contact this provider via phone number 9735230317. The mailing address for Michelle Maria Taclob is 100 Main St, Paterson, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Michelle Maria Taclob
Address 100 Main St, Paterson, New Jersey
Phone Number 9735230317
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1619131398
Provider Enumeration Date 2008-07-11
Last Updated Date 2012-03-30

Provider Mailing Address Detail

Address 100 Main St
City Paterson
State New Jersey (NJ)
Post Code 75051024
Phone Number 9735230317
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 25MA09036900
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
25MA09036900 NJ MEDICAL LICENSE

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FAQs about Michelle Maria Taclob

What is the unique 10-digit identification code issued to Michelle Maria Taclob by the Centers for Medicare & Medicaid Services?

The Michelle Maria Taclob has been assigned the NPI (National Provider Identifier) 1619131398 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Michelle Maria Taclob is physically located?

The Michelle Maria Taclob is physically situated at the following address: 100 Main St, Paterson, NJ, 75051024.

What is the Michelle Maria Taclob's area of specialization and corresponding taxonomy classification?

The Michelle Maria Taclob'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 did the Michelle Maria Taclob receive the assignment of its 1619131398 from the Centers for Medicare & Medicaid Services?

The Michelle Maria Taclob was issued its 1619131398 by the Centers for Medicare & Medicaid Services on 2008-07-11.

As of what date were the details related to Michelle Maria Taclob most recently updated or revised?

The information pertaining to Michelle Maria Taclob, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-30.

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