Providence Pediatrics, Pc in Williamsport - Pediatrics
Providence Pediatrics, Pc - NPI 1265575955
Providence Pediatrics, Pc is a Pediatrics in Williamsport, Pennsylvania. Providence Pediatrics, Pc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Providence Pediatrics, Pc is 1265575955. The last update date is 2011-01-11.
Providence Pediatrics, Pc's current location address is 338 Russell Avenue, Williamsport, Pennsylvania. You can contact this provider via phone number 5703265720 and fax number 5706011522. The mailing address for Providence Pediatrics, Pc is 338 Russell Avenue, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Providence Pediatrics, Pc |
|---|---|
| Address | 338 Russell Avenue, Williamsport, Pennsylvania |
| Phone Number | 5703265720 |
| Fax Number | 5706011522 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Demay Joseph |
| Credentials | MD |
| Telephone Number | 5703265720 |
NPI Number Detail
| NPI Number | 1265575955 |
|---|---|
| Provider Enumeration Date | 2007-02-14 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 338 Russell Avenue |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 17701 |
| Phone Number | 5703265720 |
| Fax Number | 5706011522 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD046306-L |
|
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 |
|---|---|---|---|
| 12712310004 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Providence Pediatrics, Pc by the Centers for Medicare & Medicaid Services?
The Providence Pediatrics, Pc has been issued the NPI (National Provider Identifier) 1265575955. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Providence Pediatrics, Pc's facilities are situated?
The facilities of Providence Pediatrics, Pc are physically located at the following address: 338 Russell Avenue, Williamsport, PA, 17701.
What is Providence Pediatrics, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Providence Pediatrics, Pc is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1265575955 to Providence Pediatrics, Pc?
The Providence Pediatrics, Pc received its 1265575955 assignment from the Centers for Medicare & Medicaid Services on 2007-02-14.
When was the information related to Providence Pediatrics, Pc most recently updated or refreshed?
The details pertaining to the Providence Pediatrics, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-01-11.
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