Edna J Dycoco in Cambridge - Pediatrics

Edna J Dycoco - NPI 1629153119

Edna J Dycoco is a Pediatrics in Cambridge, Ohio. Edna J Dycoco practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Edna J Dycoco is 1629153119. The last update date is 2007-07-08.

Edna J Dycoco's current location address is 64979 Old Twenty On Road, Cambridge, Ohio. You can contact this provider via phone number 7404326628 and fax number 7404325531. The mailing address for Edna J Dycoco is 64979 Old Twenty On Road, Cambridge, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Edna J Dycoco
Address 64979 Old Twenty On Road, Cambridge, Ohio
Phone Number 7404326628
Fax Number 7404325531
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1629153119
Provider Enumeration Date 2006-10-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 64979 Old Twenty On Road
City Cambridge
State Ohio (OH)
Post Code 437259619
Phone Number 7404326628
Fax Number 7404325531

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 35056228
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
1200145 UNITED HEALTHCARE
C0006228 HEALTH PLAN
153673 ANTHEM
1001723 AETNA
803885 OH --

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FAQs about Edna J Dycoco

What is the unique 10-digit identifier code issued to Edna J Dycoco by the Centers for Medicare & Medicaid Services?

The Edna J Dycoco has been assigned the NPI (National Provider Identifier) 1629153119 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Edna J Dycoco is physically located?

The Edna J Dycoco is situated at the following address: 64979 Old Twenty On Road, Cambridge, OH 437259619.

What is Edna J Dycoco's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Edna J Dycoco is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1629153119 to Edna J Dycoco?

The Edna J Dycoco received its 1629153119 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.

As of what date were the details pertaining to Edna J Dycoco last refreshed?

The information related to the Edna J Dycoco, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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