Cozumel Southern Pruette in Baltimore - Pediatric Nephrology

Cozumel Southern Pruette - NPI 1295887750

Cozumel Southern Pruette is a Pediatric Nephrology in Baltimore, Maryland. Cozumel Southern Pruette practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Cozumel Southern Pruette is 1295887750. The last update date is 2013-03-01.

Cozumel Southern Pruette's current location address is Po Box 64316, Baltimore, Maryland. You can contact this provider via phone number 4109554427. The mailing address for Cozumel Southern Pruette is Po Box 64316, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Cozumel Southern Pruette
Address Po Box 64316, Baltimore, Maryland
Phone Number 4109554427
Fax Number
Sole Proprietor N
Credentials MD, MHS

NPI Number Detail

NPI Number 1295887750
Provider Enumeration Date 2007-01-17
Last Updated Date 2013-03-01

Provider Mailing Address Detail

Address Po Box 64316
City Baltimore
State Maryland (MD)
Post Code 212644316
Phone Number 4109554427
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Nephrology
Taxonomy 2080P0210X
Licence No D67656
Definition:
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities,

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
55174100 MD --

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FAQs about Cozumel Southern Pruette

What is the unique 10-digit identifier code issued to Cozumel Southern Pruette by the Centers for Medicare & Medicaid Services?

The Cozumel Southern Pruette has been assigned the NPI (National Provider Identifier) 1295887750 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Cozumel Southern Pruette?

The Cozumel Southern Pruette is situated at Po Box 64316, in the city of Baltimore, state of MD, with the zip code 212644316.

What is Cozumel Southern Pruette's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Cozumel Southern Pruette's specialized field of practice is Pediatric Nephrology, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0210X.

On what date did the Centers for Medicare & Medicaid Services issue the 1295887750 to Cozumel Southern Pruette?

The Cozumel Southern Pruette received its 1295887750 assignment from the Centers for Medicare & Medicaid Services on 2007-01-17.

As of what date was the information pertaining to Cozumel Southern Pruette, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Cozumel Southern Pruette, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-03-01.

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