Carolkay Lissenden in Mountainside - Pediatrics

Carolkay Lissenden - NPI 1386616696

Carolkay Lissenden is a Pediatrics in Mountainside, New Jersey. Carolkay Lissenden practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Carolkay Lissenden is 1386616696. The last update date is 2007-07-08.

Carolkay Lissenden's current location address is 135 Wild Hedge Lane, Mountainside, New Jersey. You can contact this provider via phone number 9082322935 and fax number 9082323980. The mailing address for Carolkay Lissenden is 135 Wild Hedge Lane, Mountainside, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Carolkay Lissenden
Address 135 Wild Hedge Lane, Mountainside, New Jersey
Phone Number 9082322935
Fax Number 9082323980
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1386616696
Provider Enumeration Date 2006-02-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 135 Wild Hedge Lane
City Mountainside
State New Jersey (NJ)
Post Code 7092
Phone Number 9082322935
Fax Number 9082323980

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 21738
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
1231804 NJ --

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FAQs about Carolkay Lissenden

What is the unique 10-digit identification code assigned to Carolkay Lissenden by the Centers for Medicare & Medicaid Services?

The Carolkay Lissenden has been issued the NPI (National Provider Identifier) 1386616696, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Carolkay Lissenden located?

The Carolkay Lissenden is located at 135 Wild Hedge Lane, Mountainside, NJ 7092.

What is the area of specialization for Carolkay Lissenden, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Carolkay Lissenden is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Carolkay Lissenden receive its 1386616696 assignment from the Centers for Medicare & Medicaid Services?

The Carolkay Lissenden was assigned its 1386616696 by the Centers for Medicare & Medicaid Services on 2006-02-02.

When was the information regarding Carolkay Lissenden most recently updated?

The details pertaining to the Carolkay Lissenden, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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