Randal Stuart Fedoruk in Newark - Pediatrics
Randal Stuart Fedoruk - NPI 1437360575
Randal Stuart Fedoruk is a Pediatrics in Newark, New Jersey. Randal Stuart Fedoruk practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Randal Stuart Fedoruk is 1437360575. The last update date is 2007-07-08.
Randal Stuart Fedoruk's current location address is 65 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739720186. The mailing address for Randal Stuart Fedoruk is 65 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randal Stuart Fedoruk |
|---|---|
| Address | 65 Bergen St, Newark, New Jersey |
| Phone Number | 9739720186 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1437360575 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 65 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71073001 |
| Phone Number | 9739720186 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | TR4600247500 |
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Definition: Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occu |
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What is the unique identification code assigned to Randal Stuart Fedoruk by the Centers for Medicare & Medicaid Services?
The Randal Stuart Fedoruk has been issued the NPI (National Provider Identifier) 1437360575. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Randal Stuart Fedoruk's facilities are situated?
The facilities of Randal Stuart Fedoruk are physically located at the following address: 65 Bergen St, Newark, NJ, 71073001.
What is Randal Stuart Fedoruk's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randal Stuart Fedoruk's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 225Xp0200X.
On what date did the Randal Stuart Fedoruk receive its 1437360575 assignment from the Centers for Medicare & Medicaid Services?
The Randal Stuart Fedoruk was assigned its 1437360575 by the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the information regarding Randal Stuart Fedoruk most recently updated?
The details pertaining to the Randal Stuart Fedoruk, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY