Adam Jason Wiesenthal in Middletown - Physician Assistant
Adam Jason Wiesenthal - NPI 1972796696
Adam Jason Wiesenthal is a Physician Assistant in Middletown, New York. Adam Jason Wiesenthal practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Adam Jason Wiesenthal is 1972796696. The last update date is 2022-06-06.
Adam Jason Wiesenthal's current location address is 707 E Main St, Middletown, New York. You can contact this provider via phone number 8453337575 and fax number 8453333641. The mailing address for Adam Jason Wiesenthal is 707 E Main St, Middletown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adam Jason Wiesenthal |
|---|---|
| Address | 707 E Main St, Middletown, New York |
| Phone Number | 8453337575 |
| Fax Number | 8453333641 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1972796696 |
|---|---|
| Provider Enumeration Date | 2007-08-27 |
| Last Updated Date | 2022-06-06 |
Provider Mailing Address Detail
| Address | 707 E Main St |
|---|---|
| City | Middletown |
| State | New York (NY) |
| Post Code | 109402650 |
| Phone Number | 8453337575 |
| Fax Number | 8453333641 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 12686 |
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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 |
|---|---|---|---|
| 3315184 | NY | -- |
Post Comment/ Review Below
What is the Adam Jason Wiesenthal's unique identification number?
The Adam Jason Wiesenthal has been assigned the NPI (National Provider Identifier) Number 1972796696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Adam Jason Wiesenthal's physical address?
The Adam Jason Wiesenthal is physically located at 707 E Main St, in the city of Middletown, NY, with the postal code 109402650.
What is the area of specialization for Adam Jason Wiesenthal, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Adam Jason Wiesenthal is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Adam Jason Wiesenthal receive its 1972796696?
The Adam Jason Wiesenthal was issued its 1972796696 on 2007-08-27, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Adam Jason Wiesenthal most recently updated or revised?
The details related to Adam Jason Wiesenthal, including its address, specialty, and other relevant information, were last updated or revised on 2022-06-06.