Darryk James Modracek in Rochester - Physician Assistant
Darryk James Modracek - NPI 1780898932
Darryk James Modracek is a Physician Assistant in Rochester, Massachusetts. Darryk James Modracek practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Darryk James Modracek is 1780898932. The last update date is 2014-03-14.
Darryk James Modracek's current location address is 38 Dr Braley Rd, Rochester, Massachusetts. You can contact this provider via phone number 5088588910. The mailing address for Darryk James Modracek is 38 Dr Braley Rd, Rochester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darryk James Modracek |
|---|---|
| Address | 38 Dr Braley Rd, Rochester, Massachusetts |
| Phone Number | 5088588910 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780898932 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2014-03-14 |
Provider Mailing Address Detail
| Address | 38 Dr Braley Rd |
|---|---|
| City | Rochester |
| State | Massachusetts (MA) |
| Post Code | 27701900 |
| Phone Number | 5088588910 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA00313 |
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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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What is the unique provider identifier assigned to Darryk James Modracek?
The Darryk James Modracek has been issued the NPI (National Provider Identifier) 1780898932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Darryk James Modracek's physical address?
The Darryk James Modracek is physically located at 38 Dr Braley Rd, in the city of Rochester, MA, with the postal code 27701900.
What is the Darryk James Modracek's specialty and taxonomy code?
The Darryk James Modracek's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Darryk James Modracek receive its 1780898932 assignment from the Centers for Medicare & Medicaid Services?
The Darryk James Modracek was assigned its 1780898932 by the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the Darryk James Modracek's information last updated?
The Darryk James Modracek's information was last updated on 2014-03-14.
NPI Number: 1215930425
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