Phyllis Altadonna in Edgewater - Physician Assistant
Phyllis Altadonna - NPI 1104961713
Phyllis Altadonna is a Physician Assistant in Edgewater, New Jersey. Phyllis Altadonna practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Phyllis Altadonna is 1104961713. The last update date is 2007-07-08.
Phyllis Altadonna's current location address is 1055 River Rd, Edgewater, New Jersey. You can contact this provider via phone number 2129325218 and fax number 2129325258. The mailing address for Phyllis Altadonna is 1055 River Rd, Edgewater, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phyllis Altadonna |
|---|---|
| Address | 1055 River Rd, Edgewater, New Jersey |
| Phone Number | 2129325218 |
| Fax Number | 2129325258 |
| Sole Proprietor | N |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1104961713 |
|---|---|
| Provider Enumeration Date | 2007-02-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1055 River Rd |
|---|---|
| City | Edgewater |
| State | New Jersey (NJ) |
| Post Code | 70201364 |
| Phone Number | 2129325218 |
| Fax Number | 2129325258 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 009880-1 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Phyllis Altadonna?
The Phyllis Altadonna has been issued the NPI (National Provider Identifier) 1104961713 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Phyllis Altadonna's facilities are situated?
The facilities of Phyllis Altadonna are physically located at the following address: 1055 River Rd, Edgewater, NJ, 70201364.
What is the Phyllis Altadonna's specialty and taxonomy code?
The Phyllis Altadonna's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104961713 to Phyllis Altadonna?
The Centers for Medicare & Medicaid Services assigned the 1104961713 to Phyllis Altadonna on 2007-02-21.
When was the information related to Phyllis Altadonna most recently updated or refreshed?
The details pertaining to the Phyllis Altadonna, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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