Marcus George Connelly in Modesto - Dermatology
Marcus George Connelly - NPI 1295703577
Marcus George Connelly is a Dermatology in Modesto, California. Marcus George Connelly practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Marcus George Connelly is 1295703577. The last update date is 2016-11-01.
Marcus George Connelly's current location address is 600 Coffee Rd, Modesto, California. You can contact this provider via phone number 2095216097. The mailing address for Marcus George Connelly is 600 Coffee Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marcus George Connelly |
|---|---|
| Address | 600 Coffee Rd, Modesto, California |
| Phone Number | 2095216097 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295703577 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2016-11-01 |
Provider Mailing Address Detail
| Address | 600 Coffee Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953554201 |
| Phone Number | 2095216097 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | C50251 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C502510 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Marcus George Connelly by the Centers for Medicare & Medicaid Services?
The Marcus George Connelly has been issued the NPI (National Provider Identifier) 1295703577. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marcus George Connelly's physical address?
The Marcus George Connelly is physically located at 600 Coffee Rd, in the city of Modesto, CA, with the postal code 953554201.
What is the area of specialization for Marcus George Connelly, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marcus George Connelly is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date did the Marcus George Connelly receive its 1295703577 assignment from the Centers for Medicare & Medicaid Services?
The Marcus George Connelly was assigned its 1295703577 by the Centers for Medicare & Medicaid Services on 2006-03-10.
As of what date was the information regarding Marcus George Connelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Marcus George Connelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-11-01.
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