Jacob Charles Puglisi in Fort Lee - Physician Assistant
Jacob Charles Puglisi - NPI 1902867617
Jacob Charles Puglisi is a Physician Assistant in Fort Lee, Virginia. Jacob Charles Puglisi practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jacob Charles Puglisi is 1902867617. The last update date is 2020-12-23.
Jacob Charles Puglisi's current location address is 700 24th St, Fort Lee, Virginia. You can contact this provider via phone number 8047349226. The mailing address for Jacob Charles Puglisi is 700 24th St, Fort Lee, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Charles Puglisi |
|---|---|
| Address | 700 24th St, Fort Lee, Virginia |
| Phone Number | 8047349226 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A, A.T.C |
NPI Number Detail
| NPI Number | 1902867617 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2020-12-23 |
Provider Mailing Address Detail
| Address | 700 24th St |
|---|---|
| City | Fort Lee |
| State | Virginia (VA) |
| Post Code | 238011716 |
| Phone Number | 8047349226 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110003638 |
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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 Jacob Charles Puglisi's 1902867617?
The Jacob Charles Puglisi's NPI (National Provider Identifier) Number is 1902867617. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jacob Charles Puglisi located?
The Jacob Charles Puglisi is located at 700 24Th St, Fort Lee, VA 238011716.
What is Jacob Charles Puglisi's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacob Charles Puglisi's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Jacob Charles Puglisi's 1902867617 issued?
The Jacob Charles Puglisi's 1902867617 was issued on 2006-03-31.
As of what date were the Jacob Charles Puglisi's details last updated?
The information pertaining to the Jacob Charles Puglisi, including its address, specialty, and other details, was most recently updated on 2020-12-23.
NPI Number: 1891797999
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