Wyatt Clarence To in Frederick - Plastic Surgery Within The Head And Neck
Wyatt Clarence To - NPI 1134102569
Wyatt Clarence To is a Plastic Surgery Within The Head And Neck in Frederick, Maryland. Wyatt Clarence To practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Wyatt Clarence To is 1134102569. The last update date is 2018-06-08.
Wyatt Clarence To's current location address is 63 Thomas Johnson Dr, Frederick, Maryland. You can contact this provider via phone number 3016982424 and fax number 3016981018. The mailing address for Wyatt Clarence To is 63 Thomas Johnson Dr, Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wyatt Clarence To |
|---|---|
| Address | 63 Thomas Johnson Dr, Frederick, Maryland |
| Phone Number | 3016982424 |
| Fax Number | 3016981018 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1134102569 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2018-06-08 |
Provider Mailing Address Detail
| Address | 63 Thomas Johnson Dr |
|---|---|
| City | Frederick |
| State | Maryland (MD) |
| Post Code | 217024384 |
| Phone Number | 3016982424 |
| Fax Number | 3016981018 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head And Neck |
|---|---|
| Taxonomy | 2082S0099X |
| Licence No | M55987 |
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Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
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What is the unique 10-digit identifier code issued to Wyatt Clarence To by the Centers for Medicare & Medicaid Services?
The Wyatt Clarence To has been assigned the NPI (National Provider Identifier) 1134102569 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Wyatt Clarence To?
The Wyatt Clarence To is physically situated at 63 Thomas Johnson Dr, in the city of Frederick, state of MD, with the postal code 217024384.
What is the Wyatt Clarence To's specialty and taxonomy code?
The Wyatt Clarence To's specialty is Plastic Surgery Within The Head And Neck, and the corresponding taxonomy code is 2082S0099X.
When was the Wyatt Clarence To's 1134102569 issued?
The Wyatt Clarence To's 1134102569 was issued on 2005-11-21.
When was the information regarding Wyatt Clarence To, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wyatt Clarence To, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-06-08.
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