Robert Joseph Defatta in Altoona - Plastic Surgery Within The Head & Neck
Robert Joseph Defatta - NPI 1578697520
Robert Joseph Defatta is a Plastic Surgery Within The Head & Neck in Altoona, Wisconsin. Robert Joseph Defatta practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Robert Joseph Defatta is 1578697520. The last update date is 2021-12-20.
Robert Joseph Defatta's current location address is 1490 Rivers Edge Trail, Altoona, Wisconsin. You can contact this provider via phone number 7158282368. The mailing address for Robert Joseph Defatta is 1490 Rivers Edge Trail, Altoona, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Joseph Defatta |
|---|---|
| Address | 1490 Rivers Edge Trail, Altoona, Wisconsin |
| Phone Number | 7158282368 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD, PH D, |
NPI Number Detail
| NPI Number | 1578697520 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2021-12-20 |
Provider Mailing Address Detail
| Address | 1490 Rivers Edge Trail |
|---|---|
| City | Altoona |
| State | Wisconsin (WI) |
| Post Code | 547201495 |
| Phone Number | 7158282368 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | 55984 |
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Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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What is the unique identifier code issued to Robert Joseph Defatta by the Centers for Medicare & Medicaid Services?
The Robert Joseph Defatta has been assigned the NPI (National Provider Identifier) 1578697520. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Robert Joseph Defatta?
The Robert Joseph Defatta is situated at 1490 Rivers Edge Trail, in the city of Altoona, state of WI, with the zip code 547201495.
What is Robert Joseph Defatta's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Robert Joseph Defatta is Plastic Surgery Within The Head & Neck, and the taxonomy classification code that categorizes this area of expertise is 207Yx0007X.
On what date was the 1578697520 assigned to Robert Joseph Defatta?
The Robert Joseph Defatta was issued its 1578697520 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Robert Joseph Defatta's information last updated?
The Robert Joseph Defatta's information was last updated on 2021-12-20.