Evanescence Inc is a Vascular Surgery in , . Evanescence Inc practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Evanescence Inc is 1780628107. The last update date is 2007-07-10.
Evanescence Inc's current location address is , , . You can contact this provider via phone number . The mailing address for Evanescence Inc is , , . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evanescence Inc |
|---|---|
| Address | , , |
| Phone Number | |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Leon G Gustavo |
| Credentials | M.D. |
| Telephone Number | 3055988222 |
NPI Number Detail
| NPI Number | 1780628107 |
|---|---|
| Provider Enumeration Date | 2006-06-15 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
| Post Code | |
| Phone Number | |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | ME 29633 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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What is the unique 10-digit identifier code issued to Evanescence Inc by the Centers for Medicare & Medicaid Services?
The Evanescence Inc has been assigned the NPI (National Provider Identifier) 1780628107 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Evanescence Inc is physically located?
The Evanescence Inc is physically situated at the following address: , , , .
What is Evanescence Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evanescence Inc's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780628107 to Evanescence Inc?
The Centers for Medicare & Medicaid Services originally issued the 1780628107 to Evanescence Inc on 2006-06-15.
As of what date was the information pertaining to Evanescence Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Evanescence Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-10.
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