Antonius Susatyo Hadi in Boardman - Obstetrics & Gynecology
Antonius Susatyo Hadi - NPI 1033296942
Antonius Susatyo Hadi is a Obstetrics & Gynecology in Boardman, Ohio. Antonius Susatyo Hadi practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Antonius Susatyo Hadi is 1033296942. The last update date is 2016-12-28.
Antonius Susatyo Hadi's current location address is 8401 Market St, Boardman, Ohio. You can contact this provider via phone number 3307294350 and fax number 3307294351. The mailing address for Antonius Susatyo Hadi is 8401 Market St, Boardman, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antonius Susatyo Hadi |
|---|---|
| Address | 8401 Market St, Boardman, Ohio |
| Phone Number | 3307294350 |
| Fax Number | 3307294351 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033296942 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2016-12-28 |
Provider Mailing Address Detail
| Address | 8401 Market St |
|---|---|
| City | Boardman |
| State | Ohio (OH) |
| Post Code | 445126725 |
| Phone Number | 3307294350 |
| Fax Number | 3307294351 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 35046065 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H087621 | OH | MEDICARE PTAN | |
| 2444519 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Antonius Susatyo Hadi by the Centers for Medicare & Medicaid Services?
The Antonius Susatyo Hadi has been assigned the NPI (National Provider Identifier) 1033296942 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Antonius Susatyo Hadi's facilities are geographically located?
The facilities of Antonius Susatyo Hadi are physically situated at the following location: 8401 Market St, Boardman, OH, 445126725.
What is the Antonius Susatyo Hadi's specialty and taxonomy code?
The Antonius Susatyo Hadi's specialty is Obstetrics & Gynecology, and the corresponding taxonomy code is 207V00000X.
When did Antonius Susatyo Hadi receive its 1033296942 assignment?
The Antonius Susatyo Hadi was assigned its 1033296942 on 2006-11-01, which is the date when this unique identifier was issued to the organization.
When was the information related to Antonius Susatyo Hadi most recently updated or refreshed?
The details pertaining to the Antonius Susatyo Hadi, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-12-28.