Lusine Tatevosyan in Newark - Physician Assistant

Lusine Tatevosyan - NPI 1629169768

Lusine Tatevosyan is a Physician Assistant in Newark, New Jersey. Lusine Tatevosyan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lusine Tatevosyan is 1629169768. The last update date is 2011-03-17.

Lusine Tatevosyan's current location address is Po Box 29008, Newark, New Jersey. You can contact this provider via phone number 2018459300 and fax number 2018459301. The mailing address for Lusine Tatevosyan is Po Box 29008, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Lusine Tatevosyan
Address Po Box 29008, Newark, New Jersey
Phone Number 2018459300
Fax Number 2018459301
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1629169768
Provider Enumeration Date 2006-09-27
Last Updated Date 2011-03-17

Provider Mailing Address Detail

Address Po Box 29008
City Newark
State New Jersey (NJ)
Post Code 7101
Phone Number 2018459300
Fax Number 2018459301

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 25MP00165700
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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FAQs about Lusine Tatevosyan

What is the unique provider identifier assigned to Lusine Tatevosyan?

The Lusine Tatevosyan has been issued the NPI (National Provider Identifier) 1629169768 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Lusine Tatevosyan is physically located?

The Lusine Tatevosyan is situated at the following address: Po Box 29008, Newark, NJ 7101.

What is Lusine Tatevosyan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Lusine Tatevosyan's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1629169768 to Lusine Tatevosyan?

The Centers for Medicare & Medicaid Services originally issued the 1629169768 to Lusine Tatevosyan on 2006-09-27.

When was the Lusine Tatevosyan's information last updated?

The Lusine Tatevosyan's information was last updated on 2011-03-17.

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