Stephanie C. Mayberg in Worcester - Physician Assistant

Stephanie C. Mayberg - NPI 1861669814

Stephanie C. Mayberg is a Physician Assistant in Worcester, Massachusetts. Stephanie C. Mayberg practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephanie C. Mayberg is 1861669814. The last update date is 2020-11-05.

Stephanie C. Mayberg's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5083343452. The mailing address for Stephanie C. Mayberg is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie C. Mayberg
Address 55 Lake Ave N, Worcester, Massachusetts
Phone Number 5083343452
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1861669814
Provider Enumeration Date 2008-05-09
Last Updated Date 2020-11-05

Provider Mailing Address Detail

Address 55 Lake Ave N
City Worcester
State Massachusetts (MA)
Post Code 16550002
Phone Number 5083343452
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA20096
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 Stephanie C. Mayberg

What is the Stephanie C. Mayberg's unique identification number?

The Stephanie C. Mayberg has been assigned the NPI (National Provider Identifier) Number 1861669814 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 physical address where Stephanie C. Mayberg is located?

The Stephanie C. Mayberg is situated at the following address: 55 Lake Ave N, Worcester, MA, 16550002.

What is Stephanie C. Mayberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stephanie C. Mayberg is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did Stephanie C. Mayberg receive its 1861669814 assignment?

The Stephanie C. Mayberg was assigned its 1861669814 on 2008-05-09, which is the date when this unique identifier was issued to the organization.

As of what date were the Stephanie C. Mayberg's details last updated?

The information pertaining to the Stephanie C. Mayberg, including its address, specialty, and other details, was most recently updated on 2020-11-05.

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