Jeremy D Witcoski in Allentown - Physician Assistant
Jeremy D Witcoski - NPI 1407845845
Jeremy D Witcoski is a Physician Assistant in Allentown, Pennsylvania. Jeremy D Witcoski practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jeremy D Witcoski is 1407845845. The last update date is 2014-05-07.
Jeremy D Witcoski's current location address is 250 Cetronia Rd, Allentown, Pennsylvania. You can contact this provider via phone number 6109736200 and fax number 8666440894. The mailing address for Jeremy D Witcoski is 250 Cetronia Rd, Allentown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy D Witcoski |
|---|---|
| Address | 250 Cetronia Rd, Allentown, Pennsylvania |
| Phone Number | 6109736200 |
| Fax Number | 8666440894 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1407845845 |
|---|---|
| Provider Enumeration Date | 2005-10-18 |
| Last Updated Date | 2014-05-07 |
Provider Mailing Address Detail
| Address | 250 Cetronia Rd |
|---|---|
| City | Allentown |
| State | Pennsylvania (PA) |
| Post Code | 181049147 |
| Phone Number | 6109736200 |
| Fax Number | 8666440894 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9103071 |
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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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What is the unique 10-digit identifier code assigned to Jeremy D Witcoski by the Centers for Medicare & Medicaid Services?
The Jeremy D Witcoski has been issued the NPI (National Provider Identifier) 1407845845 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeremy D Witcoski's facilities are situated?
The facilities of Jeremy D Witcoski are physically located at the following address: 250 Cetronia Rd, Allentown, PA, 181049147.
What is Jeremy D Witcoski's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy D Witcoski'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 Jeremy D Witcoski receive its 1407845845 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy D Witcoski was assigned its 1407845845 by the Centers for Medicare & Medicaid Services on 2005-10-18.
When was the information pertaining to Jeremy D Witcoski most recently updated or revised?
The details related to Jeremy D Witcoski, including its address, specialty, and other relevant information, were last updated or revised on 2014-05-07.
NPI Number: 1063415297
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