Jason Alexander Petrofski in Cumming - Colon & Rectal Surgery
Jason Alexander Petrofski - NPI 1568508893
Jason Alexander Petrofski is a Colon & Rectal Surgery in Cumming, Georgia. Jason Alexander Petrofski practices all healthcare services and medical treatments related to Colon & Rectal Surgery. The NPI Number for Jason Alexander Petrofski is 1568508893. The last update date is 2020-08-10.
Jason Alexander Petrofski's current location address is 1505 Northside Blvd, Cumming, Georgia. You can contact this provider via phone number 6783413764 and fax number 6783413769. The mailing address for Jason Alexander Petrofski is 1505 Northside Blvd, Cumming, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Alexander Petrofski |
|---|---|
| Address | 1505 Northside Blvd, Cumming, Georgia |
| Phone Number | 6783413764 |
| Fax Number | 6783413769 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1568508893 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
| Address | 1505 Northside Blvd |
|---|---|
| City | Cumming |
| State | Georgia (GA) |
| Post Code | 300417623 |
| Phone Number | 6783413764 |
| Fax Number | 6783413769 |
Provider's Primary Taxonomy Detail
| Speciality | Colon & Rectal Surgery |
|---|---|
| Taxonomy | 208C00000X |
| Licence No | 59311 |
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Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 236918506A | GA | -- | |
| 236918506E | GA | -- | |
| 236918506D | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jason Alexander Petrofski by the Centers for Medicare & Medicaid Services?
The Jason Alexander Petrofski has been assigned the NPI (National Provider Identifier) 1568508893 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 address where Jason Alexander Petrofski is physically located?
The Jason Alexander Petrofski is situated at the following address: 1505 Northside Blvd, Cumming, GA 300417623.
What is Jason Alexander Petrofski's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jason Alexander Petrofski is Colon & Rectal Surgery, and the taxonomy classification code that categorizes this area of expertise is 208C00000X.
On what date did Jason Alexander Petrofski receive its 1568508893 assignment from the Centers for Medicare & Medicaid Services?
The Jason Alexander Petrofski was assigned its 1568508893 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jason Alexander Petrofski most recently updated or refreshed?
The details pertaining to the Jason Alexander Petrofski, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-10.
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