Edifel N Macatuno in Spartanburg - Adolescent Medicine

Edifel N Macatuno - NPI 1649219585

Edifel N Macatuno is a Adolescent Medicine in Spartanburg, South Carolina. Edifel N Macatuno practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Edifel N Macatuno is 1649219585. The last update date is 2021-02-04.

Edifel N Macatuno's current location address is 101 E Wood St, Spartanburg, South Carolina. You can contact this provider via phone number 8645606287 and fax number 8645607091. The mailing address for Edifel N Macatuno is 101 E Wood St, Spartanburg, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Edifel N Macatuno
Address 101 E Wood St, Spartanburg, South Carolina
Phone Number 8645606287
Fax Number 8645607091
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1649219585
Provider Enumeration Date 2006-06-06
Last Updated Date 2021-02-04

Provider Mailing Address Detail

Address 101 E Wood St
City Spartanburg
State South Carolina (SC)
Post Code 293033040
Phone Number 8645606287
Fax Number 8645607091

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No M23575
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
SCC5085019 SC MEDICARE PIN
SCC508H895 SC MEDICARE PIN
235757 SC --
SCC508J577 SC MEDICARE PIN

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FAQs about Edifel N Macatuno

What is the Edifel N Macatuno's unique identification number?

The Edifel N Macatuno has been assigned the NPI (National Provider Identifier) Number 1649219585 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Edifel N Macatuno is located?

The Edifel N Macatuno is situated at the following address: 101 E Wood St, Spartanburg, SC, 293033040.

What is Edifel N Macatuno's specialized field of practice, and what is the corresponding taxonomy classification code?

The Edifel N Macatuno'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 Centers for Medicare & Medicaid Services issue the 1649219585 to Edifel N Macatuno?

The Edifel N Macatuno received its 1649219585 assignment from the Centers for Medicare & Medicaid Services on 2006-06-06.

When was the Edifel N Macatuno's information last updated?

The Edifel N Macatuno's information was last updated on 2021-02-04.

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