Advanced Ecp, Pa in Windsor - Medical Specialty
Advanced Ecp, Pa - NPI 1447455944
Advanced Ecp, Pa is a Medical Specialty in Windsor, Connecticut. Advanced Ecp, Pa practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Advanced Ecp, Pa is 1447455944. The last update date is 2007-08-30.
Advanced Ecp, Pa's current location address is Po Box 987, Windsor, Connecticut. You can contact this provider via phone number 8003671095 and fax number 8602986127. The mailing address for Advanced Ecp, Pa is Po Box 987, Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Ecp, Pa |
|---|---|
| Address | Po Box 987, Windsor, Connecticut |
| Phone Number | 8003671095 |
| Fax Number | 8602986127 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Flanegin M Jeffrey |
| Telephone Number | 6108311112 |
NPI Number Detail
| NPI Number | 1447455944 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2007-08-30 |
Provider Mailing Address Detail
| Address | Po Box 987 |
|---|---|
| City | Windsor |
| State | Connecticut (CT) |
| Post Code | 60950987 |
| Phone Number | 8003671095 |
| Fax Number | 8602986127 |
Provider's Primary Taxonomy Detail
| Speciality | Medical Specialty |
|---|---|
| Taxonomy | 261Qm2500X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the unique 10-digit identifier code assigned to Advanced Ecp, Pa by the Centers for Medicare & Medicaid Services?
The Advanced Ecp, Pa has been issued the NPI (National Provider Identifier) 1447455944 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Advanced Ecp, Pa is geographically located?
The Advanced Ecp, Pa is physically situated at the following location: Po Box 987, Windsor, CT, 60950987.
What is Advanced Ecp, Pa's area of expertise and its corresponding taxonomy classification?
The Advanced Ecp, Pa's field of specialization is Medical Specialty, and it falls under the taxonomy code 261Qm2500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Advanced Ecp, Pa receive the assignment of its 1447455944 from the Centers for Medicare & Medicaid Services?
The Advanced Ecp, Pa was issued its 1447455944 by the Centers for Medicare & Medicaid Services on 2007-06-15.
As of what date were the details related to Advanced Ecp, Pa most recently updated or revised?
The information pertaining to Advanced Ecp, Pa, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-30.
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