Frederick William Penczak in Sonoma - Surgery
Frederick William Penczak - NPI 1841379070
Frederick William Penczak is a Surgery in Sonoma, California. Frederick William Penczak practices all healthcare services and medical treatments related to Surgery. The NPI Number for Frederick William Penczak is 1841379070. The last update date is 2014-04-25.
Frederick William Penczak's current location address is Po Box 1964, Sonoma, California. You can contact this provider via phone number 7079397411 and fax number 7079391617. The mailing address for Frederick William Penczak is Po Box 1964, Sonoma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Frederick William Penczak |
|---|---|
| Address | Po Box 1964, Sonoma, California |
| Phone Number | 7079397411 |
| Fax Number | 7079391617 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1841379070 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2014-04-25 |
Provider Mailing Address Detail
| Address | Po Box 1964 |
|---|---|
| City | Sonoma |
| State | California (CA) |
| Post Code | 954761964 |
| Phone Number | 7079397411 |
| Fax Number | 7079391617 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 00A685120 |
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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 |
|---|---|---|---|
| 00A685120 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Frederick William Penczak by the Centers for Medicare & Medicaid Services?
The Frederick William Penczak has been assigned the NPI (National Provider Identifier) 1841379070 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Frederick William Penczak is located?
The Frederick William Penczak is situated at the following address: Po Box 1964, Sonoma, CA, 954761964.
What is Frederick William Penczak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Frederick William Penczak is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Frederick William Penczak receive the assignment of its 1841379070 from the Centers for Medicare & Medicaid Services?
The Frederick William Penczak was issued its 1841379070 by the Centers for Medicare & Medicaid Services on 2006-11-06.
When was the Frederick William Penczak's information last updated?
The Frederick William Penczak's information was last updated on 2014-04-25.