Yurata Gerwel Modzelewski in Boonton Twp - Pediatrics
Yurata Gerwel Modzelewski - NPI 1275796286
Yurata Gerwel Modzelewski is a Pediatrics in Boonton Twp, New Jersey. Yurata Gerwel Modzelewski practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Yurata Gerwel Modzelewski is 1275796286. The last update date is 2008-07-09.
Yurata Gerwel Modzelewski's current location address is 105 Powerville Road, Boonton Twp, New Jersey. You can contact this provider via phone number 9732992903 and fax number 9732992903. The mailing address for Yurata Gerwel Modzelewski is 105 Powerville Road, Boonton Twp, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yurata Gerwel Modzelewski |
|---|---|
| Address | 105 Powerville Road, Boonton Twp, New Jersey |
| Phone Number | 9732992903 |
| Fax Number | 9732992903 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275796286 |
|---|---|
| Provider Enumeration Date | 2008-07-09 |
| Last Updated Date | 2008-07-09 |
Provider Mailing Address Detail
| Address | 105 Powerville Road |
|---|---|
| City | Boonton Twp |
| State | New Jersey (NJ) |
| Post Code | 7005 |
| Phone Number | 9732992903 |
| Fax Number | 9732992903 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 25MA03879000 |
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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 |
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What is the unique 10-digit identification code issued to Yurata Gerwel Modzelewski by the Centers for Medicare & Medicaid Services?
The Yurata Gerwel Modzelewski has been assigned the NPI (National Provider Identifier) 1275796286 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Yurata Gerwel Modzelewski?
The Yurata Gerwel Modzelewski is physically situated at 105 Powerville Road, in the city of Boonton Twp, state of NJ, with the postal code 7005.
What is Yurata Gerwel Modzelewski's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Yurata Gerwel Modzelewski is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Yurata Gerwel Modzelewski receive its 1275796286 assignment from the Centers for Medicare & Medicaid Services?
The Yurata Gerwel Modzelewski was assigned its 1275796286 by the Centers for Medicare & Medicaid Services on 2008-07-09.
When was the Yurata Gerwel Modzelewski's information last updated?
The Yurata Gerwel Modzelewski's information was last updated on 2008-07-09.