Kevin L Mortara in Green Bay - Hematology & Oncology
Kevin L Mortara - NPI 1033109210
Kevin L Mortara is a Hematology & Oncology in Green Bay, Wisconsin. Kevin L Mortara practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Kevin L Mortara is 1033109210. The last update date is 2014-06-12.
Kevin L Mortara's current location address is 1580 Commanche Ave, Green Bay, Wisconsin. You can contact this provider via phone number 9204358326 and fax number 9204304659. The mailing address for Kevin L Mortara is 1580 Commanche Ave, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin L Mortara |
|---|---|
| Address | 1580 Commanche Ave, Green Bay, Wisconsin |
| Phone Number | 9204358326 |
| Fax Number | 9204304659 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033109210 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2014-06-12 |
Provider Mailing Address Detail
| Address | 1580 Commanche Ave |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543135751 |
| Phone Number | 9204358326 |
| Fax Number | 9204304659 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 48997-20 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Post Comment/ Review Below
What is the Kevin L Mortara's 1033109210?
The Kevin L Mortara's NPI (National Provider Identifier) Number is 1033109210. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kevin L Mortara is physically located?
The Kevin L Mortara is situated at the following address: 1580 Commanche Ave, Green Bay, WI 543135751.
What is Kevin L Mortara's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kevin L Mortara is Hematology & Oncology, and the corresponding taxonomy classification code for this specialized field is 207Rh0003X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033109210 to Kevin L Mortara?
The Centers for Medicare & Medicaid Services assigned the 1033109210 to Kevin L Mortara on 2005-10-27.
When was the information pertaining to Kevin L Mortara most recently updated or revised?
The details related to Kevin L Mortara, including its address, specialty, and other relevant information, were last updated or revised on 2014-06-12.