Hollie Mandiberg in Livingston - Physician Assistant
Hollie Mandiberg - NPI 1558572909
Hollie Mandiberg is a Physician Assistant in Livingston, New Jersey. Hollie Mandiberg practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Hollie Mandiberg is 1558572909. The last update date is 2019-12-05.
Hollie Mandiberg's current location address is Po Box 837, Livingston, New Jersey. You can contact this provider via phone number 8003450064 and fax number 9737401350. The mailing address for Hollie Mandiberg is Po Box 837, Livingston, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Hollie Mandiberg |
|---|---|
| Address | Po Box 837, Livingston, New Jersey |
| Phone Number | 8003450064 |
| Fax Number | 9737401350 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1558572909 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2019-12-05 |
Provider Mailing Address Detail
| Address | Po Box 837 |
|---|---|
| City | Livingston |
| State | New Jersey (NJ) |
| Post Code | 70390837 |
| Phone Number | 8003450064 |
| Fax Number | 9737401350 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 008015-1 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 008015-1 | NY | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Hollie Mandiberg by the Centers for Medicare & Medicaid Services?
The Hollie Mandiberg has been issued the NPI (National Provider Identifier) 1558572909. This 10-digit code 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 Hollie Mandiberg is located?
The Hollie Mandiberg is situated at the following address: Po Box 837, Livingston, NJ, 70390837.
What is Hollie Mandiberg's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Hollie Mandiberg is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did Hollie Mandiberg receive its 1558572909 assignment from the Centers for Medicare & Medicaid Services?
The Hollie Mandiberg was assigned its 1558572909 on 2007-05-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Hollie Mandiberg last refreshed?
The information related to the Hollie Mandiberg, including its address, specialty, and other relevant details, was last updated on 2019-12-05.