Neil A Izenberg in Wilmington - Adolescent Medicine

Neil A Izenberg - NPI 1053401794

Neil A Izenberg is a Adolescent Medicine in Wilmington, Delaware. Neil A Izenberg practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Neil A Izenberg is 1053401794. The last update date is 2007-07-08.

Neil A Izenberg's current location address is Corporate Credentialing, Wilmington, Delaware. You can contact this provider via phone number 3026515938 and fax number 3026516077. The mailing address for Neil A Izenberg is Corporate Credentialing, Wilmington, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Neil A Izenberg
Address Corporate Credentialing, Wilmington, Delaware
Phone Number 3026515938
Fax Number 3026516077
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053401794
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Corporate Credentialing
City Wilmington
State Delaware (DE)
Post Code 19899
Phone Number 3026515938
Fax Number 3026516077

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No C10003991
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0689117 (PA) DE --

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FAQs about Neil A Izenberg

What is the unique 10-digit identification code assigned to Neil A Izenberg by the Centers for Medicare & Medicaid Services?

The Neil A Izenberg has been issued the NPI (National Provider Identifier) 1053401794, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Neil A Izenberg?

The Neil A Izenberg is physically situated at Corporate Credentialing, in the city of Wilmington, state of DE, with the postal code 19899.

What is Neil A Izenberg's specialized field of practice, and what is the corresponding taxonomy classification code?

The Neil A Izenberg's area of specialization is Adolescent Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2080A0000X.

On what date did the Neil A Izenberg receive the assignment of its 1053401794 from the Centers for Medicare & Medicaid Services?

The Neil A Izenberg was issued its 1053401794 by the Centers for Medicare & Medicaid Services on 2006-10-13.

As of what date was the information regarding Neil A Izenberg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Neil A Izenberg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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