Miriam Tankiang Villanueva in Brockton - Psychiatry
Miriam Tankiang Villanueva - NPI 1740386689
Miriam Tankiang Villanueva is a Psychiatry in Brockton, Massachusetts. Miriam Tankiang Villanueva practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Miriam Tankiang Villanueva is 1740386689. The last update date is 2023-12-09.
Miriam Tankiang Villanueva's current location address is 30 Meadowbrook Rd, Brockton, Massachusetts. You can contact this provider via phone number 5087424420 and fax number 5087424430. The mailing address for Miriam Tankiang Villanueva is 30 Meadowbrook Rd, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miriam Tankiang Villanueva |
|---|---|
| Address | 30 Meadowbrook Rd, Brockton, Massachusetts |
| Phone Number | 5087424420 |
| Fax Number | 5087424430 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1740386689 |
|---|---|
| Provider Enumeration Date | 2006-09-16 |
| Last Updated Date | 2023-12-09 |
Provider Mailing Address Detail
| Address | 30 Meadowbrook Rd |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23017122 |
| Phone Number | 5087424420 |
| Fax Number | 5087424430 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 43630 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identifier code issued to Miriam Tankiang Villanueva by the Centers for Medicare & Medicaid Services?
The Miriam Tankiang Villanueva has been assigned the NPI (National Provider Identifier) 1740386689. 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 Tankiang Villanueva is located?
The Miriam Tankiang Villanueva is situated at the following address: 30 Meadowbrook Rd, Brockton, MA, 23017122.
What is the area of specialization for Miriam Tankiang Villanueva, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Miriam Tankiang Villanueva is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740386689 to Miriam Tankiang Villanueva?
The Centers for Medicare & Medicaid Services assigned the 1740386689 to Miriam Tankiang Villanueva on 2006-09-16.
As of what date were the details related to Miriam Tankiang Villanueva most recently updated or revised?
The information pertaining to Miriam Tankiang Villanueva, including its address, specialty, and other relevant details, was last updated or revised on 2023-12-09.
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