John Joseph Pendergast in Brookfield - Medical
John Joseph Pendergast - NPI 1902962160
John Joseph Pendergast is a Medical in Brookfield, Connecticut. John Joseph Pendergast practices all healthcare services and medical treatments related to Medical. The NPI Number for John Joseph Pendergast is 1902962160. The last update date is 2007-07-08.
John Joseph Pendergast's current location address is 246 Federal Rd, Brookfield, Connecticut. You can contact this provider via phone number 2037753290 and fax number 2037756970. The mailing address for John Joseph Pendergast is 246 Federal Rd, Brookfield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Pendergast |
|---|---|
| Address | 246 Federal Rd, Brookfield, Connecticut |
| Phone Number | 2037753290 |
| Fax Number | 2037756970 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1902962160 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 246 Federal Rd |
|---|---|
| City | Brookfield |
| State | Connecticut (CT) |
| Post Code | 68042647 |
| Phone Number | 2037753290 |
| Fax Number | 2037756970 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 219 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to John Joseph Pendergast?
The John Joseph Pendergast has been issued the NPI (National Provider Identifier) 1902962160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where John Joseph Pendergast is physically located?
The John Joseph Pendergast is physically situated at the following address: 246 Federal Rd, Brookfield, CT, 68042647.
What is John Joseph Pendergast's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for John Joseph Pendergast is Medical, and the corresponding taxonomy classification code for this specialized field is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902962160 to John Joseph Pendergast?
The John Joseph Pendergast received its 1902962160 assignment from the Centers for Medicare & Medicaid Services on 2006-12-29.
When was the information related to John Joseph Pendergast most recently updated or refreshed?
The details pertaining to the John Joseph Pendergast, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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