Masonicare Primary Care Physicians in Wallingford - Geriatric Medicine

Masonicare Primary Care Physicians - NPI 1922084540

Masonicare Primary Care Physicians is a Geriatric Medicine in Wallingford, Connecticut. Masonicare Primary Care Physicians practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Masonicare Primary Care Physicians is 1922084540. The last update date is 2008-01-02.

Masonicare Primary Care Physicians's current location address is 67 Masonic Avenue, Wallingford, Connecticut. You can contact this provider via phone number 2032650355 and fax number 2032657413. The mailing address for Masonicare Primary Care Physicians is 67 Masonic Avenue, Wallingford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Masonicare Primary Care Physicians
Address 67 Masonic Avenue, Wallingford, Connecticut
Phone Number 2032650355
Fax Number 2032657413
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Bernshteyn Alla
Credentials MD
Telephone Number 2032650355

NPI Number Detail

NPI Number 1922084540
Provider Enumeration Date 2005-12-15
Last Updated Date 2008-01-02

Provider Mailing Address Detail

Address 67 Masonic Avenue
City Wallingford
State Connecticut (CT)
Post Code 6492
Phone Number 2032650355
Fax Number 2032657413

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Rg0300X
Definition:
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4178605 CT --

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FAQs about Masonicare Primary Care Physicians

What is the Masonicare Primary Care Physicians's unique identification number?

The Masonicare Primary Care Physicians has been assigned the NPI (National Provider Identifier) Number 1922084540 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Masonicare Primary Care Physicians's facilities are geographically located?

The facilities of Masonicare Primary Care Physicians are physically situated at the following location: 67 Masonic Avenue, Wallingford, CT, 6492.

What is Masonicare Primary Care Physicians's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Masonicare Primary Care Physicians is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Rg0300X.

When was the Masonicare Primary Care Physicians's 1922084540 issued?

The Masonicare Primary Care Physicians's 1922084540 was issued on 2005-12-15.

As of what date were the details pertaining to Masonicare Primary Care Physicians last refreshed?

The information related to the Masonicare Primary Care Physicians, including its address, specialty, and other relevant details, was last updated on 2008-01-02.

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