John Patrick T Co in Revere - Pediatrics

John Patrick T Co - NPI 1083605984

John Patrick T Co is a Pediatrics in Revere, Massachusetts. John Patrick T Co practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for John Patrick T Co is 1083605984. The last update date is 2012-12-20.

John Patrick T Co's current location address is 300 Ocean Avenue Rch, Revere, Massachusetts. You can contact this provider via phone number 7814856024 and fax number 7814856391. The mailing address for John Patrick T Co is 300 Ocean Avenue Rch, Revere, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name John Patrick T Co
Address 300 Ocean Avenue Rch, Revere, Massachusetts
Phone Number 7814856024
Fax Number 7814856391
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083605984
Provider Enumeration Date 2005-10-31
Last Updated Date 2012-12-20

Provider Mailing Address Detail

Address 300 Ocean Avenue Rch
City Revere
State Massachusetts (MA)
Post Code 21513675
Phone Number 7814856024
Fax Number 7814856391

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 160256
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3201325 MA --
J21625 MA BCBS MA
160256 MA TUFTS HEALTH PLAN

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FAQs about John Patrick T Co

What is the unique identifier code issued to John Patrick T Co by the Centers for Medicare & Medicaid Services (CMS)?

The John Patrick T Co has been assigned the NPI (National Provider Identifier) 1083605984. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the John Patrick T Co located?

The John Patrick T Co is located at 300 Ocean Avenue Rch, Revere, MA 21513675.

What is the John Patrick T Co's specialty and taxonomy code?

The John Patrick T Co's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083605984 to John Patrick T Co?

The John Patrick T Co received its 1083605984 assignment from the Centers for Medicare & Medicaid Services on 2005-10-31.

When was the John Patrick T Co's information last updated?

The John Patrick T Co's information was last updated on 2012-12-20.

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