Phyllis Gorin in Saint Paul - Pediatrics

Phyllis Gorin - NPI 1740210723

Phyllis Gorin is a Pediatrics in Saint Paul, Minnesota. Phyllis Gorin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Phyllis Gorin is 1740210723. The last update date is 2012-11-08.

Phyllis Gorin's current location address is 1020 Bandana Blvd W, Saint Paul, Minnesota. You can contact this provider via phone number 6512419700. The mailing address for Phyllis Gorin is 1020 Bandana Blvd W, Saint Paul, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Phyllis Gorin
Address 1020 Bandana Blvd W, Saint Paul, Minnesota
Phone Number 6512419700
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1740210723
Provider Enumeration Date 2006-07-04
Last Updated Date 2012-11-08

Provider Mailing Address Detail

Address 1020 Bandana Blvd W
City Saint Paul
State Minnesota (MN)
Post Code 5510851070
Phone Number 6512419700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 30612
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
913783100 MN --

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FAQs about Phyllis Gorin

What is the unique identification code assigned to Phyllis Gorin by the Centers for Medicare & Medicaid Services?

The Phyllis Gorin has been issued the NPI (National Provider Identifier) 1740210723. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Phyllis Gorin's physical address?

The Phyllis Gorin is physically located at 1020 Bandana Blvd W, in the city of Saint Paul, MN, with the postal code 5510851070.

What is Phyllis Gorin'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 Phyllis Gorin is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1740210723 to Phyllis Gorin?

The Centers for Medicare & Medicaid Services originally issued the 1740210723 to Phyllis Gorin on 2006-07-04.

As of what date were the details pertaining to Phyllis Gorin last refreshed?

The information related to the Phyllis Gorin, including its address, specialty, and other relevant details, was last updated on 2012-11-08.

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