Edgar Collazo is a Pediatrics in Philadelphia, Pennsylvania. Edgar Collazo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Edgar Collazo is 1073596169. The last update date is 2007-07-08.
Edgar Collazo's current location address is 452 W Allegheny Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2152912500 and fax number 2152912587. The mailing address for Edgar Collazo is 452 W Allegheny Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgar Collazo |
|---|---|
| Address | 452 W Allegheny Ave, Philadelphia, Pennsylvania |
| Phone Number | 2152912500 |
| Fax Number | 2152912587 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073596169 |
|---|---|
| Provider Enumeration Date | 2005-11-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 452 W Allegheny Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191333639 |
| Phone Number | 2152912500 |
| Fax Number | 2152912587 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD070294L |
|
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 |
|---|---|---|---|
| 18164480001 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edgar Collazo by the Centers for Medicare & Medicaid Services (CMS)?
The Edgar Collazo has been assigned the NPI (National Provider Identifier) 1073596169. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Edgar Collazo is geographically located?
The Edgar Collazo is physically situated at the following location: 452 W Allegheny Ave, Philadelphia, PA, 191333639.
What is Edgar Collazo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edgar Collazo's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date did the Edgar Collazo receive the assignment of its 1073596169 from the Centers for Medicare & Medicaid Services?
The Edgar Collazo was issued its 1073596169 by the Centers for Medicare & Medicaid Services on 2005-11-22.
When was the information related to Edgar Collazo most recently updated or refreshed?
The details pertaining to the Edgar Collazo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.