Miyasari Ranoewidjojo in Montville - Physician Assistant
Miyasari Ranoewidjojo - NPI 1033324645
Miyasari Ranoewidjojo is a Physician Assistant in Montville, New Jersey. Miyasari Ranoewidjojo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Miyasari Ranoewidjojo is 1033324645. The last update date is 2007-12-13.
Miyasari Ranoewidjojo's current location address is 45 Genoble Rd, Montville, New Jersey. You can contact this provider via phone number 3472238788 and fax number 9737943555. The mailing address for Miyasari Ranoewidjojo is 45 Genoble Rd, Montville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miyasari Ranoewidjojo |
|---|---|
| Address | 45 Genoble Rd, Montville, New Jersey |
| Phone Number | 3472238788 |
| Fax Number | 9737943555 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1033324645 |
|---|---|
| Provider Enumeration Date | 2007-05-14 |
| Last Updated Date | 2007-12-13 |
Provider Mailing Address Detail
| Address | 45 Genoble Rd |
|---|---|
| City | Montville |
| State | New Jersey (NJ) |
| Post Code | 7045 |
| Phone Number | 3472238788 |
| Fax Number | 9737943555 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 25MP00118300 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Miyasari Ranoewidjojo by the Centers for Medicare & Medicaid Services?
The Miyasari Ranoewidjojo has been issued the NPI (National Provider Identifier) 1033324645 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Miyasari Ranoewidjojo is physically located?
The Miyasari Ranoewidjojo is physically situated at the following address: 45 Genoble Rd, Montville, NJ, 7045.
What is Miyasari Ranoewidjojo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Miyasari Ranoewidjojo is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Miyasari Ranoewidjojo receive its 1033324645 assignment from the Centers for Medicare & Medicaid Services?
The Miyasari Ranoewidjojo was assigned its 1033324645 by the Centers for Medicare & Medicaid Services on 2007-05-14.
As of what date was the information pertaining to Miyasari Ranoewidjojo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Miyasari Ranoewidjojo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-13.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC