Randall George Brundage in Peckville - Internal Medicine
Randall George Brundage - NPI 1053381590
Randall George Brundage is a Internal Medicine in Peckville, Pennsylvania. Randall George Brundage practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Randall George Brundage is 1053381590. The last update date is 2014-06-06.
Randall George Brundage's current location address is 320 Keystone Ave, Peckville, Pennsylvania. You can contact this provider via phone number 5704890871 and fax number 5704898021. The mailing address for Randall George Brundage is 320 Keystone Ave, Peckville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall George Brundage |
|---|---|
| Address | 320 Keystone Ave, Peckville, Pennsylvania |
| Phone Number | 5704890871 |
| Fax Number | 5704898021 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1053381590 |
|---|---|
| Provider Enumeration Date | 2006-01-26 |
| Last Updated Date | 2014-06-06 |
Provider Mailing Address Detail
| Address | 320 Keystone Ave |
|---|---|
| City | Peckville |
| State | Pennsylvania (PA) |
| Post Code | 184112242 |
| Phone Number | 5704890871 |
| Fax Number | 5704898021 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 05005830L |
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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 |
|---|---|---|---|
| 1162200 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall George Brundage by the Centers for Medicare & Medicaid Services?
The Randall George Brundage has been issued the NPI (National Provider Identifier) 1053381590, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Randall George Brundage located?
The Randall George Brundage is located at 320 Keystone Ave, Peckville, PA 184112242.
What is Randall George Brundage's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall George Brundage's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053381590 to Randall George Brundage?
The Centers for Medicare & Medicaid Services assigned the 1053381590 to Randall George Brundage on 2006-01-26.
When was the information pertaining to Randall George Brundage most recently updated or revised?
The details related to Randall George Brundage, including its address, specialty, and other relevant information, were last updated or revised on 2014-06-06.
NPI Number: 1467452797
Address: 450 Clarkson Ave Ste B6-314, Brooklyn, NY