Mark Kwalbrun in Watertown - Diagnostic Radiology
Mark Kwalbrun - NPI 1811997042
Mark Kwalbrun is a Diagnostic Radiology in Watertown, New York. Mark Kwalbrun practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mark Kwalbrun is 1811997042. The last update date is 2014-01-15.
Mark Kwalbrun's current location address is 1571 Washington St, Watertown, New York. You can contact this provider via phone number 3157865046 and fax number 3157865043. The mailing address for Mark Kwalbrun is 1571 Washington St, Watertown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Kwalbrun |
|---|---|
| Address | 1571 Washington St, Watertown, New York |
| Phone Number | 3157865046 |
| Fax Number | 3157865043 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811997042 |
|---|---|
| Provider Enumeration Date | 2005-07-29 |
| Last Updated Date | 2014-01-15 |
Provider Mailing Address Detail
| Address | 1571 Washington St |
|---|---|
| City | Watertown |
| State | New York (NY) |
| Post Code | 136019304 |
| Phone Number | 3157865046 |
| Fax Number | 3157865043 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 225726 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2461787 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Kwalbrun by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Kwalbrun has been assigned the NPI (National Provider Identifier) 1811997042. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Mark Kwalbrun is located?
The Mark Kwalbrun is situated at the following address: 1571 Washington St, Watertown, NY, 136019304.
What is Mark Kwalbrun's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Kwalbrun'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 Mark Kwalbrun receive its 1811997042 assignment from the Centers for Medicare & Medicaid Services?
The Mark Kwalbrun was assigned its 1811997042 by the Centers for Medicare & Medicaid Services on 2005-07-29.
When was the information regarding Mark Kwalbrun, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mark Kwalbrun, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-01-15.
NPI Number: 1144225426
Address: 380 E Paseo El Mirador, Palm Springs, CA