Blandine B Bustamante in Fort Wayne - Anatomic Pathology & Clinical Pathology
Blandine B Bustamante - NPI 1093799546
Blandine B Bustamante is a Anatomic Pathology & Clinical Pathology in Fort Wayne, Indiana. Blandine B Bustamante practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Blandine B Bustamante is 1093799546. The last update date is 2010-04-29.
Blandine B Bustamante's current location address is 2458 Lake Ave, Fort Wayne, Indiana. You can contact this provider via phone number 2604242195. The mailing address for Blandine B Bustamante is 2458 Lake Ave, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Blandine B Bustamante |
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Address | 2458 Lake Ave, Fort Wayne, Indiana |
Phone Number | 2604242195 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1093799546 |
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Provider Enumeration Date | 2005-11-29 |
Last Updated Date | 2010-04-29 |
Provider Mailing Address Detail
Address | 2458 Lake Ave |
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City | Fort Wayne |
State | Indiana (IN) |
Post Code | 468055406 |
Phone Number | 2604242195 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Anatomic Pathology & Clinical Pathology |
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Taxonomy | 207Zp0102X |
Licence No | 01042290A |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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200002580 | IN | -- |
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What is the Blandine B Bustamante's unique identification number?
The Blandine B Bustamante has been assigned the NPI (National Provider Identifier) Number 1093799546 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Blandine B Bustamante's physical address?
The Blandine B Bustamante is physically located at 2458 Lake Ave, in the city of Fort Wayne, IN, with the postal code 468055406.
What is Blandine B Bustamante's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Blandine B Bustamante is Anatomic Pathology & Clinical Pathology, and the taxonomy code that categorizes this field of expertise is 207Zp0102X.
On what date did the Blandine B Bustamante receive its 1093799546 assignment from the Centers for Medicare & Medicaid Services?
The Blandine B Bustamante was assigned its 1093799546 by the Centers for Medicare & Medicaid Services on 2005-11-29.
When was the information pertaining to Blandine B Bustamante most recently updated or revised?
The details related to Blandine B Bustamante, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-29.
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