Jack Lawrence Mayer in Middlebury - Adolescent Medicine
Jack Lawrence Mayer - NPI 1639136559
Jack Lawrence Mayer is a Adolescent Medicine in Middlebury, Vermont. Jack Lawrence Mayer practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Jack Lawrence Mayer is 1639136559. The last update date is 2007-07-09.
Jack Lawrence Mayer's current location address is 44 Collins Dr, Middlebury, Vermont. You can contact this provider via phone number 8023881338 and fax number 8023888244. The mailing address for Jack Lawrence Mayer is 44 Collins Dr, Middlebury, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Lawrence Mayer |
|---|---|
| Address | 44 Collins Dr, Middlebury, Vermont |
| Phone Number | 8023881338 |
| Fax Number | 8023888244 |
| Sole Proprietor | X |
| Credentials | M.D., FAAP |
NPI Number Detail
| NPI Number | 1639136559 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 44 Collins Dr |
|---|---|
| City | Middlebury |
| State | Vermont (VT) |
| Post Code | 57538528 |
| Phone Number | 8023881338 |
| Fax Number | 8023888244 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 042-0004728 |
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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 |
|---|---|---|---|
| 4626 | VT | -- | |
| 26P885 | MVP ID# | ||
| 4626 | VT | BCVT |
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What is the unique identifier code issued to Jack Lawrence Mayer by the Centers for Medicare & Medicaid Services?
The Jack Lawrence Mayer has been assigned the NPI (National Provider Identifier) 1639136559. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jack Lawrence Mayer located?
The Jack Lawrence Mayer is located at 44 Collins Dr, Middlebury, VT 57538528.
What is the Jack Lawrence Mayer's area of specialization and corresponding taxonomy classification?
The Jack Lawrence Mayer's specialty field is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their specialties.
On what date was the 1639136559 assigned to Jack Lawrence Mayer?
The Jack Lawrence Mayer was issued its 1639136559 on 2006-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jack Lawrence Mayer most recently updated or revised?
The details related to Jack Lawrence Mayer, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.