Ross G Utter in Waterbury - Medical

Ross G Utter - NPI 1831156249

Ross G Utter is a Medical in Waterbury, Connecticut. Ross G Utter practices all healthcare services and medical treatments related to Medical. The NPI Number for Ross G Utter is 1831156249. The last update date is 2008-01-30.

Ross G Utter's current location address is 134 Grandview Ave, Waterbury, Connecticut. You can contact this provider via phone number 2037568911 and fax number 2035740548. The mailing address for Ross G Utter is 134 Grandview Ave, Waterbury, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Ross G Utter
Address 134 Grandview Ave, Waterbury, Connecticut
Phone Number 2037568911
Fax Number 2035740548
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1831156249
Provider Enumeration Date 2006-04-28
Last Updated Date 2008-01-30

Provider Mailing Address Detail

Address 134 Grandview Ave
City Waterbury
State Connecticut (CT)
Post Code 6708
Phone Number 2037568911
Fax Number 2035740548

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1124
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51124 AIM
711609 CTCARE
OR0365 AETNA HEALTHNET
290001124CT02 ANTHEM
A437740 OXFORD

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FAQs about Ross G Utter

What is the unique provider identifier assigned to Ross G Utter?

The Ross G Utter has been issued the NPI (National Provider Identifier) 1831156249 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 Ross G Utter is physically located?

The Ross G Utter is situated at the following address: 134 Grandview Ave, Waterbury, CT 6708.

What is Ross G Utter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ross G Utter's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1831156249 to Ross G Utter?

The Ross G Utter received its 1831156249 assignment from the Centers for Medicare & Medicaid Services on 2006-04-28.

As of what date were the details pertaining to Ross G Utter last refreshed?

The information related to the Ross G Utter, including its address, specialty, and other relevant details, was last updated on 2008-01-30.

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