John L Roussalis in Newark - Plastic And Reconstructive Surgery
John L Roussalis - NPI 1235252669
John L Roussalis is a Plastic And Reconstructive Surgery in Newark, Delaware. John L Roussalis practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for John L Roussalis is 1235252669. The last update date is 2021-06-23.
John L Roussalis's current location address is 537 Stanton Christiana Rd, Newark, Delaware. You can contact this provider via phone number 3026337550 and fax number 3026337556. The mailing address for John L Roussalis is 537 Stanton Christiana Rd, Newark, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John L Roussalis |
|---|---|
| Address | 537 Stanton Christiana Rd, Newark, Delaware |
| Phone Number | 3026337550 |
| Fax Number | 3026337556 |
| Sole Proprietor | Y |
| Credentials | M.D.PC |
NPI Number Detail
| NPI Number | 1235252669 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2021-06-23 |
Provider Mailing Address Detail
| Address | 537 Stanton Christiana Rd |
|---|---|
| City | Newark |
| State | Delaware (DE) |
| Post Code | 197132146 |
| Phone Number | 3026337550 |
| Fax Number | 3026337556 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 2086S0122X |
| Licence No | MD426938 |
|
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 127068100 | WY | -- | |
| W21591 | WY | PTAN |
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What is the unique 10-digit identification code assigned to John L Roussalis by the Centers for Medicare & Medicaid Services?
The John L Roussalis has been issued the NPI (National Provider Identifier) 1235252669, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the John L Roussalis located?
The John L Roussalis is located at 537 Stanton Christiana Rd, Newark, DE 197132146.
What is the John L Roussalis's area of specialization and corresponding taxonomy classification?
The John L Roussalis's specialty field is Plastic And Reconstructive Surgery, and it falls under the taxonomy code 2086S0122X, which categorizes healthcare providers based on their specialties.
When did the John L Roussalis receive its 1235252669?
The John L Roussalis was issued its 1235252669 on 2007-04-09, which is the date when the organization was assigned this unique identifier.
When was the information regarding John L Roussalis most recently updated?
The details pertaining to the John L Roussalis, including its address, specialty, and other relevant information, were last refreshed on 2021-06-23.