Endosurgical Md Pa in Woodland Park - General Practice
Endosurgical Md Pa - NPI 1417089335
Endosurgical Md Pa is a General Practice in Woodland Park, New Jersey. Endosurgical Md Pa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Endosurgical Md Pa is 1417089335. The last update date is 2011-02-04.
Endosurgical Md Pa's current location address is 48 Virvickas Street, Woodland Park, New Jersey. You can contact this provider via phone number 9737795554. The mailing address for Endosurgical Md Pa is 48 Virvickas Street, Woodland Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Endosurgical Md Pa |
|---|---|
| Address | 48 Virvickas Street, Woodland Park, New Jersey |
| Phone Number | 9737795554 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | De La Cruz Juan |
| Credentials | M.D. |
| Telephone Number | 9737795554 |
NPI Number Detail
| NPI Number | 1417089335 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2011-02-04 |
Provider Mailing Address Detail
| Address | 48 Virvickas Street |
|---|---|
| City | Woodland Park |
| State | New Jersey (NJ) |
| Post Code | 74240000 |
| Phone Number | 9737795554 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 25MA45725 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4011902 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Endosurgical Md Pa by the Centers for Medicare & Medicaid Services?
The Endosurgical Md Pa has been assigned the NPI (National Provider Identifier) 1417089335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Endosurgical Md Pa's facilities are geographically located?
The facilities of Endosurgical Md Pa are physically situated at the following location: 48 Virvickas Street, Woodland Park, NJ, 74240000.
What is Endosurgical Md Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Endosurgical Md Pa is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.
On what date did the Endosurgical Md Pa receive the assignment of its 1417089335 from the Centers for Medicare & Medicaid Services?
The Endosurgical Md Pa was issued its 1417089335 by the Centers for Medicare & Medicaid Services on 2007-03-09.
When was the information regarding Endosurgical Md Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Endosurgical Md Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-02-04.