Jo-Ellen R Brodeur in Worcester - Physician Assistant
Jo-Ellen R Brodeur - NPI 1649281106
Jo-Ellen R Brodeur is a Physician Assistant in Worcester, Massachusetts. Jo-Ellen R Brodeur practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jo-Ellen R Brodeur is 1649281106. The last update date is 2007-07-09.
Jo-Ellen R Brodeur's current location address is 26 Queen St, Worcester, Massachusetts. You can contact this provider via phone number 5088607700 and fax number 5088607990. The mailing address for Jo-Ellen R Brodeur is 26 Queen St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo-Ellen R Brodeur |
|---|---|
| Address | 26 Queen St, Worcester, Massachusetts |
| Phone Number | 5088607700 |
| Fax Number | 5088607990 |
| Sole Proprietor | N |
| Credentials | FAMILY PRA |
NPI Number Detail
| NPI Number | 1649281106 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 26 Queen St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16102473 |
| Phone Number | 5088607700 |
| Fax Number | 5088607990 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1962 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93605 | MA | FALLON SELECT |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jo-Ellen R Brodeur by the Centers for Medicare & Medicaid Services?
The Jo-Ellen R Brodeur has been issued the NPI (National Provider Identifier) 1649281106 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jo-Ellen R Brodeur?
The Jo-Ellen R Brodeur is situated at 26 Queen St, in the city of Worcester, state of MA, with the zip code 16102473.
What is Jo-Ellen R Brodeur's area of expertise and its corresponding taxonomy classification?
The Jo-Ellen R Brodeur's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649281106 to Jo-Ellen R Brodeur?
The Centers for Medicare & Medicaid Services originally issued the 1649281106 to Jo-Ellen R Brodeur on 2006-08-10.
As of what date was the information pertaining to Jo-Ellen R Brodeur, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jo-Ellen R Brodeur, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.
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