Miriam Blodgett Tatum in Derby Line - Adolescent Medicine
Miriam Blodgett Tatum - NPI 1770682106
Miriam Blodgett Tatum is a Adolescent Medicine in Derby Line, Vermont. Miriam Blodgett Tatum practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Miriam Blodgett Tatum is 1770682106. The last update date is 2007-07-08.
Miriam Blodgett Tatum's current location address is Po Box 970, Derby Line, Vermont. You can contact this provider via phone number 8028733009. The mailing address for Miriam Blodgett Tatum is Po Box 970, Derby Line, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miriam Blodgett Tatum |
|---|---|
| Address | Po Box 970, Derby Line, Vermont |
| Phone Number | 8028733009 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770682106 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 970 |
|---|---|
| City | Derby Line |
| State | Vermont (VT) |
| Post Code | 58300970 |
| Phone Number | 8028733009 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 042-0008370 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 042-0008370 | VT | STATE LICENSE NUMBER | |
| 0VN0264 | VT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Miriam Blodgett Tatum by the Centers for Medicare & Medicaid Services?
The Miriam Blodgett Tatum has been assigned the NPI (National Provider Identifier) 1770682106. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Miriam Blodgett Tatum is located?
The Miriam Blodgett Tatum is situated at the following address: Po Box 970, Derby Line, VT, 58300970.
What is the area of specialization for Miriam Blodgett Tatum, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Miriam Blodgett Tatum is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080A0000X.
When did the Miriam Blodgett Tatum receive its 1770682106?
The Miriam Blodgett Tatum was issued its 1770682106 on 2006-09-22, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Miriam Blodgett Tatum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Miriam Blodgett Tatum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.