Stacy D. Holtz in Waterbury - Physician Assistant

Stacy D. Holtz - NPI 1487637674

Stacy D. Holtz is a Physician Assistant in Waterbury, Connecticut. Stacy D. Holtz practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacy D. Holtz is 1487637674. The last update date is 2007-07-08.

Stacy D. Holtz's current location address is 64 Robbins St, Waterbury, Connecticut. You can contact this provider via phone number 2035737307 and fax number 2035736555. The mailing address for Stacy D. Holtz is 64 Robbins St, Waterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy D. Holtz
Address 64 Robbins St, Waterbury, Connecticut
Phone Number 2035737307
Fax Number 2035736555
Sole Proprietor X
Credentials PA-C

NPI Number Detail

NPI Number 1487637674
Provider Enumeration Date 2005-11-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 64 Robbins St
City Waterbury
State Connecticut (CT)
Post Code 6721
Phone Number 2035737307
Fax Number 2035736555

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 716
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Stacy D. Holtz

What is the unique 10-digit identification code assigned to Stacy D. Holtz by the Centers for Medicare & Medicaid Services?

The Stacy D. Holtz has been issued the NPI (National Provider Identifier) 1487637674, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Stacy D. Holtz is located?

The Stacy D. Holtz is situated at the following address: 64 Robbins St, Waterbury, CT, 6721.

What is Stacy D. Holtz's specialized field of practice, and what is the corresponding taxonomy classification code?

The Stacy D. Holtz's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1487637674 to Stacy D. Holtz?

The Stacy D. Holtz received its 1487637674 assignment from the Centers for Medicare & Medicaid Services on 2005-11-22.

As of what date was the information pertaining to Stacy D. Holtz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stacy D. Holtz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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