Debra J Tetreault in Smithfield - Pediatrics
Debra J Tetreault - NPI 1629036256
Debra J Tetreault is a Pediatrics in Smithfield, North Carolina. Debra J Tetreault practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Debra J Tetreault is 1629036256. The last update date is 2021-03-03.
Debra J Tetreault's current location address is 101 Kellie Dr, Smithfield, North Carolina. You can contact this provider via phone number 9199383749 and fax number 9199383795. The mailing address for Debra J Tetreault is 101 Kellie Dr, Smithfield, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra J Tetreault |
|---|---|
| Address | 101 Kellie Dr, Smithfield, North Carolina |
| Phone Number | 9199383749 |
| Fax Number | 9199383795 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1629036256 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2021-03-03 |
Provider Mailing Address Detail
| Address | 101 Kellie Dr |
|---|---|
| City | Smithfield |
| State | North Carolina (NC) |
| Post Code | 275779443 |
| Phone Number | 9199383749 |
| Fax Number | 9199383795 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 9801088 |
|
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 |
|---|---|---|---|
| 891038C | NC | -- |
Post Comment/ Review Below
What is the Debra J Tetreault's unique identification number?
The Debra J Tetreault has been assigned the NPI (National Provider Identifier) Number 1629036256 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Debra J Tetreault?
The Debra J Tetreault is situated at 101 Kellie Dr, in the city of Smithfield, state of NC, with the zip code 275779443.
What is the Debra J Tetreault's area of specialization and corresponding taxonomy classification?
The Debra J Tetreault's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Debra J Tetreault receive the assignment of its 1629036256 from the Centers for Medicare & Medicaid Services?
The Debra J Tetreault was issued its 1629036256 by the Centers for Medicare & Medicaid Services on 2006-05-03.
As of what date were the details pertaining to Debra J Tetreault last refreshed?
The information related to the Debra J Tetreault, including its address, specialty, and other relevant details, was last updated on 2021-03-03.