Edward Stanley Gensicki in Hamden - Podiatrist
Edward Stanley Gensicki - NPI 1982632634
Edward Stanley Gensicki is a Podiatrist in Hamden, Connecticut. Edward Stanley Gensicki practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Edward Stanley Gensicki is 1982632634. The last update date is 2008-02-15.
Edward Stanley Gensicki's current location address is 1812 Dixwell Ave, Hamden, Connecticut. You can contact this provider via phone number 2032870336 and fax number 2032870387. The mailing address for Edward Stanley Gensicki is 1812 Dixwell Ave, Hamden, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Stanley Gensicki |
|---|---|
| Address | 1812 Dixwell Ave, Hamden, Connecticut |
| Phone Number | 2032870336 |
| Fax Number | 2032870387 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1982632634 |
|---|---|
| Provider Enumeration Date | 2006-06-30 |
| Last Updated Date | 2008-02-15 |
Provider Mailing Address Detail
| Address | 1812 Dixwell Ave |
|---|---|
| City | Hamden |
| State | Connecticut (CT) |
| Post Code | 65143105 |
| Phone Number | 2032870336 |
| Fax Number | 2032870387 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | P00369 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000369-7413 | CT | CONNECTICARE | |
| 183481 | CT | WELLCARE | |
| P778784 | OXFORD | ||
| 4067245 | CT | -- | |
| 030000369CT01 | CT | ANTHEM BC | |
| P00369 | CT | STATE LICENSE | |
| 0V1575 | CT | HEALTH NET | |
| 4800009967 | RR MEDICARE |
Post Comment/ Review Below
What is the Edward Stanley Gensicki's 1982632634?
The Edward Stanley Gensicki's NPI (National Provider Identifier) Number is 1982632634. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Edward Stanley Gensicki's facilities are situated?
The facilities of Edward Stanley Gensicki are physically located at the following address: 1812 Dixwell Ave, Hamden, CT, 65143105.
What is Edward Stanley Gensicki'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 Edward Stanley Gensicki is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Edward Stanley Gensicki receive its 1982632634 assignment from the Centers for Medicare & Medicaid Services?
The Edward Stanley Gensicki was assigned its 1982632634 by the Centers for Medicare & Medicaid Services on 2006-06-30.
When was the information regarding Edward Stanley Gensicki, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Edward Stanley Gensicki, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-02-15.
NPI Number: 1215930425
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