Georgios Petrides is a Psychiatry in Newark, New Jersey. Georgios Petrides practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Georgios Petrides is 1972538874. The last update date is 2007-07-08.
Georgios Petrides's current location address is 30 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739720037. The mailing address for Georgios Petrides is 30 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Georgios Petrides |
|---|---|
| Address | 30 Bergen St, Newark, New Jersey |
| Phone Number | 9739720037 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972538874 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 30 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71073000 |
| Phone Number | 9739720037 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 25MA05851800 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9717 | NJ | -- |
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What is the unique 10-digit identification code assigned to Georgios Petrides by the Centers for Medicare & Medicaid Services?
The Georgios Petrides has been issued the NPI (National Provider Identifier) 1972538874, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Georgios Petrides?
The Georgios Petrides is physically situated at 30 Bergen St, in the city of Newark, state of NJ, with the postal code 71073000.
What is Georgios Petrides's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Georgios Petrides is Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0800X.
On what date did the Georgios Petrides receive its 1972538874 assignment from the Centers for Medicare & Medicaid Services?
The Georgios Petrides was assigned its 1972538874 by the Centers for Medicare & Medicaid Services on 2006-07-11.
When was the information related to Georgios Petrides most recently updated or refreshed?
The details pertaining to the Georgios Petrides, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY