Gerald E Gronborg is a Radiology in Altoona, Pennsylvania. Gerald E Gronborg practices all healthcare services and medical treatments related to Radiology. The NPI Number for Gerald E Gronborg is 1902884950. The last update date is 2011-05-05.
Gerald E Gronborg's current location address is 2727 Beale Ave, Altoona, Pennsylvania. You can contact this provider via phone number 8149461075 and fax number 8149464076. The mailing address for Gerald E Gronborg is 2727 Beale Ave, Altoona, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerald E Gronborg |
|---|---|
| Address | 2727 Beale Ave, Altoona, Pennsylvania |
| Phone Number | 8149461075 |
| Fax Number | 8149464076 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1902884950 |
|---|---|
| Provider Enumeration Date | 2006-01-09 |
| Last Updated Date | 2011-05-05 |
Provider Mailing Address Detail
| Address | 2727 Beale Ave |
|---|---|
| City | Altoona |
| State | Pennsylvania (PA) |
| Post Code | 166011705 |
| Phone Number | 8149461075 |
| Fax Number | 8149464076 |
Provider's Primary Taxonomy Detail
| Speciality | Radiology |
|---|---|
| Taxonomy | 213Er0200X |
| Licence No | SC003442L |
|
Definition: A doctor of podiatric medicine who specializes in medical imaging of the lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12762560012 | PA | -- | |
| 5166987 | PA | PPNI | |
| 826758 | PA | BLUE SHIELD GROUP | |
| 706203 | PA | KEYSTONE HEALTH PLAN | |
| CC2226 | PA | RR MEDICARE GROUP | |
| P 54229714 | PA | MULTIPLAN | |
| 12762560009 | PA | -- | |
| 12762560010 | PA | -- | |
| 857830000 | PA | PPO PROGRAM INDEPENDENCE | |
| 200069 | PA | UPMC |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gerald E Gronborg?
The Gerald E Gronborg has been issued the NPI (National Provider Identifier) 1902884950 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gerald E Gronborg's facilities are situated?
The facilities of Gerald E Gronborg are physically located at the following address: 2727 Beale Ave, Altoona, PA, 166011705.
What is Gerald E Gronborg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gerald E Gronborg's specialized field of practice is Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 213Er0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902884950 to Gerald E Gronborg?
The Centers for Medicare & Medicaid Services originally issued the 1902884950 to Gerald E Gronborg on 2006-01-09.
When was the information related to Gerald E Gronborg most recently updated or refreshed?
The details pertaining to the Gerald E Gronborg, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-05-05.