Mary M Staffa in Worcester - Diagnostic Radiology

Mary M Staffa - NPI 1356323646

Mary M Staffa is a Diagnostic Radiology in Worcester, Massachusetts. Mary M Staffa practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mary M Staffa is 1356323646. The last update date is 2018-09-14.

Mary M Staffa's current location address is 5 Neponset St Fl Street12, Worcester, Massachusetts. You can contact this provider via phone number 5088532716 and fax number 5088540479. The mailing address for Mary M Staffa is 5 Neponset St Fl Street12, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary M Staffa
Address 5 Neponset St Fl Street12, Worcester, Massachusetts
Phone Number 5088532716
Fax Number 5088540479
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1356323646
Provider Enumeration Date 2005-11-14
Last Updated Date 2018-09-14

Provider Mailing Address Detail

Address 5 Neponset St Fl Street12
City Worcester
State Massachusetts (MA)
Post Code 16062714
Phone Number 5088532716
Fax Number 5088540479

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 70412
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
732821 MA TUFTS HEALTH PLAN
J10760 MA BCBS MA
3076351 MA --

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FAQs about Mary M Staffa

What is the Mary M Staffa's 1356323646?

The Mary M Staffa's NPI (National Provider Identifier) Number is 1356323646. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Mary M Staffa is physically located?

The Mary M Staffa is situated at the following address: 5 Neponset St Fl Street12, Worcester, MA 16062714.

What is Mary M Staffa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mary M Staffa's area of specialization is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this field of practice is 2085R0202X.

On what date did the Mary M Staffa receive the assignment of its 1356323646 from the Centers for Medicare & Medicaid Services?

The Mary M Staffa was issued its 1356323646 by the Centers for Medicare & Medicaid Services on 2005-11-14.

As of what date were the Mary M Staffa's details last updated?

The information pertaining to the Mary M Staffa, including its address, specialty, and other details, was most recently updated on 2018-09-14.

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