De Omilia Plastic Surgery Pc in Basking Ridge - Surgery Of The Hand
De Omilia Plastic Surgery Pc - NPI 1164618435
De Omilia Plastic Surgery Pc is a Surgery Of The Hand in Basking Ridge, New Jersey. De Omilia Plastic Surgery Pc practices all healthcare services and medical treatments related to Surgery Of The Hand. The NPI Number for De Omilia Plastic Surgery Pc is 1164618435. The last update date is 2008-04-03.
De Omilia Plastic Surgery Pc's current location address is 96 South Finley Ave, Basking Ridge, New Jersey. You can contact this provider via phone number 9082211136 and fax number 9082210482. The mailing address for De Omilia Plastic Surgery Pc is 96 South Finley Ave, Basking Ridge, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | De Omilia Plastic Surgery Pc |
|---|---|
| Address | 96 South Finley Ave, Basking Ridge, New Jersey |
| Phone Number | 9082211136 |
| Fax Number | 9082210482 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Evdokimow Z David |
| Credentials | MD |
| Telephone Number | 9082211136 |
NPI Number Detail
| NPI Number | 1164618435 |
|---|---|
| Provider Enumeration Date | 2007-09-20 |
| Last Updated Date | 2008-04-03 |
Provider Mailing Address Detail
| Address | 96 South Finley Ave |
|---|---|
| City | Basking Ridge |
| State | New Jersey (NJ) |
| Post Code | 7920 |
| Phone Number | 9082211136 |
| Fax Number | 9082210482 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery Of The Hand |
|---|---|
| Taxonomy | 2082S0105X |
| Licence No | 25MA07315300 |
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Definition: A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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What is the unique 10-digit identification code issued to De Omilia Plastic Surgery Pc by the Centers for Medicare & Medicaid Services?
The De Omilia Plastic Surgery Pc has been assigned the NPI (National Provider Identifier) 1164618435 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where De Omilia Plastic Surgery Pc's facilities are situated?
The facilities of De Omilia Plastic Surgery Pc are physically located at the following address: 96 South Finley Ave, Basking Ridge, NJ, 7920.
What is De Omilia Plastic Surgery Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The De Omilia Plastic Surgery Pc's specialized field of practice is Surgery Of The Hand, and the corresponding taxonomy code that categorizes this area of specialization is 2082S0105X.
On what date did the De Omilia Plastic Surgery Pc receive the assignment of its 1164618435 from the Centers for Medicare & Medicaid Services?
The De Omilia Plastic Surgery Pc was issued its 1164618435 by the Centers for Medicare & Medicaid Services on 2007-09-20.
When was the information regarding De Omilia Plastic Surgery Pc most recently updated?
The details pertaining to the De Omilia Plastic Surgery Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-04-03.