Montclair Breast Center Pc in Montclair - Surgery
Montclair Breast Center Pc - NPI 1053367334
Montclair Breast Center Pc is a Surgery in Montclair, New Jersey. Montclair Breast Center Pc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Montclair Breast Center Pc is 1053367334. The last update date is 2022-09-16.
Montclair Breast Center Pc's current location address is 37 No Fullerton Avenue, Montclair, New Jersey. You can contact this provider via phone number 9735091818 and fax number 9735090708. The mailing address for Montclair Breast Center Pc is 37 No Fullerton Avenue, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Montclair Breast Center Pc |
|---|---|
| Address | 37 No Fullerton Avenue, Montclair, New Jersey |
| Phone Number | 9735091818 |
| Fax Number | 9735090708 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Hernandez L Jackie |
| Telephone Number | 8623920022 |
NPI Number Detail
| NPI Number | 1053367334 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2022-09-16 |
Provider Mailing Address Detail
| Address | 37 No Fullerton Avenue |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 70423426 |
| Phone Number | 9735091818 |
| Fax Number | 9735090708 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
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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 |
|---|---|---|---|
| 23317 | NJ | FDA MRI | |
| 126219 | NJ | FDA RADIOLOGY |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Montclair Breast Center Pc by the Centers for Medicare & Medicaid Services?
The Montclair Breast Center Pc has been issued the NPI (National Provider Identifier) 1053367334, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Montclair Breast Center Pc?
The Montclair Breast Center Pc is physically situated at 37 No Fullerton Avenue, in the city of Montclair, state of NJ, with the postal code 70423426.
What is Montclair Breast Center Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Montclair Breast Center Pc's specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.
On what date did the Montclair Breast Center Pc receive its 1053367334 assignment from the Centers for Medicare & Medicaid Services?
The Montclair Breast Center Pc was assigned its 1053367334 by the Centers for Medicare & Medicaid Services on 2006-05-26.
When was the information pertaining to Montclair Breast Center Pc most recently updated or revised?
The details related to Montclair Breast Center Pc, including its address, specialty, and other relevant information, were last updated or revised on 2022-09-16.