Hackensack Meridian Health Medical Group - Specialty Care Pc in Philadelphia - Pediatric Dermatology
Hackensack Meridian Health Medical Group - Specialty Care Pc - NPI 1215989249
Hackensack Meridian Health Medical Group - Specialty Care Pc is a Pediatric Dermatology in Philadelphia, Pennsylvania. Hackensack Meridian Health Medical Group - Specialty Care Pc practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Hackensack Meridian Health Medical Group - Specialty Care Pc is 1215989249. The last update date is 2023-01-12.
Hackensack Meridian Health Medical Group - Specialty Care Pc's current location address is Po Box 95000-4535, Philadelphia, Pennsylvania. You can contact this provider via phone number 7328070800 and fax number 7329220527. The mailing address for Hackensack Meridian Health Medical Group - Specialty Care Pc is Po Box 95000-4535, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Address | Po Box 95000-4535, Philadelphia, Pennsylvania |
| Phone Number | 7328070800 |
| Fax Number | 7329220527 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reznik Larry |
| Telephone Number | 7328070800 |
NPI Number Detail
| NPI Number | 1215989249 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2023-01-12 |
Provider Mailing Address Detail
| Address | Po Box 95000-4535 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191950001 |
| Phone Number | 7328070800 |
| Fax Number | 7329220527 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dermatology |
|---|---|
| Taxonomy | 207Np0225X |
|
Definition: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7501307 | NJ | -- | |
| CN6543 | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Hackensack Meridian Health Medical Group - Specialty Care Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Hackensack Meridian Health Medical Group - Specialty Care Pc has been assigned the NPI (National Provider Identifier) 1215989249. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Hackensack Meridian Health Medical Group - Specialty Care Pc?
The Hackensack Meridian Health Medical Group - Specialty Care Pc is situated at Po Box 95000-4535, in the city of Philadelphia, state of PA, with the zip code 191950001.
What is the Hackensack Meridian Health Medical Group - Specialty Care Pc's specialty and taxonomy code?
The Hackensack Meridian Health Medical Group - Specialty Care Pc's specialty is Pediatric Dermatology, and the corresponding taxonomy code is 207Np0225X.
On what date did the Hackensack Meridian Health Medical Group - Specialty Care Pc receive the assignment of its 1215989249 from the Centers for Medicare & Medicaid Services?
The Hackensack Meridian Health Medical Group - Specialty Care Pc was issued its 1215989249 by the Centers for Medicare & Medicaid Services on 2006-05-17.
When was the information regarding Hackensack Meridian Health Medical Group - Specialty Care Pc most recently updated?
The details pertaining to the Hackensack Meridian Health Medical Group - Specialty Care Pc, including its address, specialty, and other relevant information, were last refreshed on 2023-01-12.