Demetrios Thomas Braddock in New Haven - Anatomic Pathology
Demetrios Thomas Braddock - NPI 1720069024
Demetrios Thomas Braddock is a Anatomic Pathology in New Haven, Connecticut. Demetrios Thomas Braddock practices all healthcare services and medical treatments related to Anatomic Pathology. The NPI Number for Demetrios Thomas Braddock is 1720069024. The last update date is 2008-01-03.
Demetrios Thomas Braddock's current location address is Po Box 9805, New Haven, Connecticut. You can contact this provider via phone number 2037857998 and fax number 2037856414. The mailing address for Demetrios Thomas Braddock is Po Box 9805, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Demetrios Thomas Braddock |
|---|---|
| Address | Po Box 9805, New Haven, Connecticut |
| Phone Number | 2037857998 |
| Fax Number | 2037856414 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720069024 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
| Address | Po Box 9805 |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65360805 |
| Phone Number | 2037857998 |
| Fax Number | 2037856414 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology |
|---|---|
| Taxonomy | 207Zp0101X |
| Licence No | 42128 |
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Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
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What is the unique 10-digit identification code assigned to Demetrios Thomas Braddock by the Centers for Medicare & Medicaid Services?
The Demetrios Thomas Braddock has been issued the NPI (National Provider Identifier) 1720069024, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Demetrios Thomas Braddock's facilities are situated?
The facilities of Demetrios Thomas Braddock are physically located at the following address: Po Box 9805, New Haven, CT, 65360805.
What is Demetrios Thomas Braddock's specialized field of practice, and what is the corresponding taxonomy classification code?
The Demetrios Thomas Braddock's area of specialization is Anatomic Pathology, and the corresponding taxonomy code that categorizes this field of practice is 207Zp0101X.
On what date did the Demetrios Thomas Braddock receive its 1720069024 assignment from the Centers for Medicare & Medicaid Services?
The Demetrios Thomas Braddock was assigned its 1720069024 by the Centers for Medicare & Medicaid Services on 2005-11-14.
As of what date were the Demetrios Thomas Braddock's details last updated?
The information pertaining to the Demetrios Thomas Braddock, including its address, specialty, and other details, was most recently updated on 2008-01-03.
NPI Number: 1376546309
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