Maria I Moreno is a Pediatrics in Middletown, Connecticut. Maria I Moreno practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Maria I Moreno is 1053455337. The last update date is 2019-05-06.
Maria I Moreno's current location address is 410 Saybrook Rd Ste 100, Middletown, Connecticut. You can contact this provider via phone number 8606383820 and fax number 8606383840. The mailing address for Maria I Moreno is 410 Saybrook Rd Ste 100, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria I Moreno |
|---|---|
| Address | 410 Saybrook Rd Ste 100, Middletown, Connecticut |
| Phone Number | 8606383820 |
| Fax Number | 8606383840 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1053455337 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2019-05-06 |
Provider Mailing Address Detail
| Address | 410 Saybrook Rd Ste 100 |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 64574780 |
| Phone Number | 8606383820 |
| Fax Number | 8606383840 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 4956 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64-04254 | CT | UNITED HEALTHCARE | |
| 712712 | CT | CONNECTICARE | |
| OV1691 | CT | HEALTHNET | |
| 4175114 | CT | -- | |
| A667399 | CT | OXFORD | |
| 080004956CT03 | CT | ANTHEM BCBS | |
| 114175114-00 | CT | BLUE CARE FAMILY PLAN | |
| 3372505 | CT | AETNA |
Post Comment/ Review Below
What is the Maria I Moreno's unique identification number?
The Maria I Moreno has been assigned the NPI (National Provider Identifier) Number 1053455337 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Maria I Moreno is physically located?
The Maria I Moreno is situated at the following address: 410 Saybrook Rd Ste 100, Middletown, CT 64574780.
What is Maria I Moreno's area of expertise and its corresponding taxonomy classification?
The Maria I Moreno's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did Maria I Moreno receive its 1053455337 assignment from the Centers for Medicare & Medicaid Services?
The Maria I Moreno was assigned its 1053455337 on 2007-02-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Maria I Moreno, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Maria I Moreno, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-05-06.