Jerry Russell Croteau in Mechanicsburg - Diagnostic Radiology
Jerry Russell Croteau - NPI 1699762179
Jerry Russell Croteau is a Diagnostic Radiology in Mechanicsburg, Pennsylvania. Jerry Russell Croteau practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jerry Russell Croteau is 1699762179. The last update date is 2007-07-08.
Jerry Russell Croteau's current location address is 4665 E Trindle Rd, Mechanicsburg, Pennsylvania. You can contact this provider via phone number 7179750445 and fax number 7177319165. The mailing address for Jerry Russell Croteau is 4665 E Trindle Rd, Mechanicsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Russell Croteau |
|---|---|
| Address | 4665 E Trindle Rd, Mechanicsburg, Pennsylvania |
| Phone Number | 7179750445 |
| Fax Number | 7177319165 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699762179 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4665 E Trindle Rd |
|---|---|
| City | Mechanicsburg |
| State | Pennsylvania (PA) |
| Post Code | 170503640 |
| Phone Number | 7179750445 |
| Fax Number | 7177319165 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD007267E |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Russell Croteau?
The Jerry Russell Croteau has been issued the NPI (National Provider Identifier) 1699762179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Jerry Russell Croteau located?
The Jerry Russell Croteau is located at 4665 E Trindle Rd, Mechanicsburg, PA 170503640.
What is Jerry Russell Croteau'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 Jerry Russell Croteau is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
On what date did Jerry Russell Croteau receive its 1699762179 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Russell Croteau was assigned its 1699762179 on 2005-09-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jerry Russell Croteau, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jerry Russell Croteau, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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