Clarksburg Surgical Specialists in Bridgeport - Surgery
Clarksburg Surgical Specialists - NPI 1548217037
Clarksburg Surgical Specialists is a Surgery in Bridgeport, . Clarksburg Surgical Specialists practices all healthcare services and medical treatments related to Surgery. The NPI Number for Clarksburg Surgical Specialists is 1548217037. The last update date is 2011-11-02.
Clarksburg Surgical Specialists's current location address is 527 Medical Park Dr, Bridgeport, . You can contact this provider via phone number 3049333855 and fax number 3049333859. The mailing address for Clarksburg Surgical Specialists is 527 Medical Park Dr, Bridgeport, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Clarksburg Surgical Specialists |
|---|---|
| Address | 527 Medical Park Dr, Bridgeport, |
| Phone Number | 3049333855 |
| Fax Number | 3049333859 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Madden W Jeffrey |
| Credentials | M.D. |
| Telephone Number | 3049333855 |
NPI Number Detail
| NPI Number | 1548217037 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2011-11-02 |
Provider Mailing Address Detail
| Address | 527 Medical Park Dr |
|---|---|
| City | Bridgeport |
| State | (WV) |
| Post Code | 263309008 |
| Phone Number | 3049333855 |
| Fax Number | 3049333859 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 18555 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20411000 | WV | -- | |
| 18555 | WV | WV BUSINESS LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Clarksburg Surgical Specialists by the Centers for Medicare & Medicaid Services?
The Clarksburg Surgical Specialists has been issued the NPI (National Provider Identifier) 1548217037. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Clarksburg Surgical Specialists is geographically located?
The Clarksburg Surgical Specialists is physically situated at the following location: 527 Medical Park Dr, Bridgeport, WV, 263309008.
What is Clarksburg Surgical Specialists's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clarksburg Surgical Specialists is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
On what date was the 1548217037 assigned to Clarksburg Surgical Specialists?
The Clarksburg Surgical Specialists was issued its 1548217037 on 2006-05-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Clarksburg Surgical Specialists's information last updated?
The Clarksburg Surgical Specialists's information was last updated on 2011-11-02.
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