Elizabeth G De Jesus in Cranston - Internal Medicine

Elizabeth G De Jesus - NPI 1134206360

Elizabeth G De Jesus is a Internal Medicine in Cranston, Rhode Island. Elizabeth G De Jesus practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Elizabeth G De Jesus is 1134206360. The last update date is 2011-10-28.

Elizabeth G De Jesus's current location address is 1596 Broad St, Cranston, Rhode Island. You can contact this provider via phone number 4014615400 and fax number 4014619039. The mailing address for Elizabeth G De Jesus is 1596 Broad St, Cranston, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Elizabeth G De Jesus
Address 1596 Broad St, Cranston, Rhode Island
Phone Number 4014615400
Fax Number 4014619039
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1134206360
Provider Enumeration Date 2006-11-01
Last Updated Date 2011-10-28

Provider Mailing Address Detail

Address 1596 Broad St
City Cranston
State Rhode Island (RI)
Post Code 29054130
Phone Number 4014615400
Fax Number 4014619039

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No MD10197
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
04-02873 RI UNITED HEALTH CARE
9002877 RI --
11649828 RI CAQH ID NUMBER
5488229 RI CIGNA
406045 RI BLUE CHIP
26781 RI BLUE SHIELD
3358011 RI AETNA

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FAQs about Elizabeth G De Jesus

What is the unique provider identifier assigned to Elizabeth G De Jesus?

The Elizabeth G De Jesus has been issued the NPI (National Provider Identifier) 1134206360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Elizabeth G De Jesus located?

The Elizabeth G De Jesus is located at 1596 Broad St, Cranston, RI 29054130.

What is the Elizabeth G De Jesus's specialty and taxonomy code?

The Elizabeth G De Jesus's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date was the 1134206360 assigned to Elizabeth G De Jesus?

The Elizabeth G De Jesus was issued its 1134206360 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Elizabeth G De Jesus most recently updated or revised?

The information pertaining to Elizabeth G De Jesus, including its address, specialty, and other relevant details, was last updated or revised on 2011-10-28.

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