Russell Crockett Woglom in Corning - Internal Medicine
Russell Crockett Woglom - NPI 1417923434
Russell Crockett Woglom is a Internal Medicine in Corning, New York. Russell Crockett Woglom practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Russell Crockett Woglom is 1417923434. The last update date is 2021-03-03.
Russell Crockett Woglom's current location address is 130 Center Way, Corning, New York. You can contact this provider via phone number 6079369971 and fax number 6079362600. The mailing address for Russell Crockett Woglom is 130 Center Way, Corning, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell Crockett Woglom |
|---|---|
| Address | 130 Center Way, Corning, New York |
| Phone Number | 6079369971 |
| Fax Number | 6079362600 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417923434 |
|---|---|
| Provider Enumeration Date | 2006-02-28 |
| Last Updated Date | 2021-03-03 |
Provider Mailing Address Detail
| Address | 130 Center Way |
|---|---|
| City | Corning |
| State | New York (NY) |
| Post Code | 148302255 |
| Phone Number | 6079369971 |
| Fax Number | 6079362600 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 170146-1 |
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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 |
|---|---|---|---|
| 110224586 | NY | RR MEDICARE PIN | |
| CC8362 | NY | RR MEDICARE GROUP | |
| 1030271 | NY | -- | |
| 10940660003 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Russell Crockett Woglom by the Centers for Medicare & Medicaid Services (CMS)?
The Russell Crockett Woglom has been assigned the NPI (National Provider Identifier) 1417923434. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Russell Crockett Woglom is physically located?
The Russell Crockett Woglom is situated at the following address: 130 Center Way, Corning, NY 148302255.
What is the area of specialization for Russell Crockett Woglom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell Crockett Woglom is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
When did the Russell Crockett Woglom receive its 1417923434?
The Russell Crockett Woglom was issued its 1417923434 on 2006-02-28, which is the date when the organization was assigned this unique identifier.
When was the information regarding Russell Crockett Woglom most recently updated?
The details pertaining to the Russell Crockett Woglom, including its address, specialty, and other relevant information, were last refreshed on 2021-03-03.