Southside Head N Neck Surgery Professional Corp in Colonial Heights - Otolaryngology

Southside Head N Neck Surgery Professional Corp - NPI 1194803338

Southside Head N Neck Surgery Professional Corp is a Otolaryngology in Colonial Heights, Virginia. Southside Head N Neck Surgery Professional Corp practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Southside Head N Neck Surgery Professional Corp is 1194803338. The last update date is 2014-07-01.

Southside Head N Neck Surgery Professional Corp's current location address is 930 South Ave., Colonial Heights, Virginia. You can contact this provider via phone number 8045040530 and fax number 8045040532. The mailing address for Southside Head N Neck Surgery Professional Corp is 930 South Ave., Colonial Heights, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southside Head N Neck Surgery Professional Corp
Address 930 South Ave., Colonial Heights, Virginia
Phone Number 8045040530
Fax Number 8045040532
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN/
Authorized Official Name Cangcuesta David
Credentials M.D.
Telephone Number 8043371110

NPI Number Detail

NPI Number 1194803338
Provider Enumeration Date 2006-11-02
Last Updated Date 2014-07-01

Provider Mailing Address Detail

Address 930 South Ave.
City Colonial Heights
State Virginia (VA)
Post Code 23834
Phone Number 8045040530
Fax Number 8045040532

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No 101036702
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
40009007 VA MEDICARE RAILROAD
P00002082 VA MEDICARE RAILROAD
6555055 VA MEDICARE RAILROAD
P00002088 VA MEDICARE RAILROAD

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FAQs about Southside Head N Neck Surgery Professional Corp

What is the unique 10-digit identifier code assigned to Southside Head N Neck Surgery Professional Corp by the Centers for Medicare & Medicaid Services?

The Southside Head N Neck Surgery Professional Corp has been issued the NPI (National Provider Identifier) 1194803338 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Southside Head N Neck Surgery Professional Corp is physically located?

The Southside Head N Neck Surgery Professional Corp is situated at the following address: 930 South Ave., Colonial Heights, VA 23834.

What is the Southside Head N Neck Surgery Professional Corp's area of specialization and corresponding taxonomy classification?

The Southside Head N Neck Surgery Professional Corp's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.

When did the Southside Head N Neck Surgery Professional Corp receive its 1194803338?

The Southside Head N Neck Surgery Professional Corp was issued its 1194803338 on 2006-11-02, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Southside Head N Neck Surgery Professional Corp, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Southside Head N Neck Surgery Professional Corp, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-07-01.

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