Patrick J Creedon in Middletown - Surgical

Patrick J Creedon - NPI 1295836104

Patrick J Creedon is a Surgical in Middletown, Connecticut. Patrick J Creedon practices all healthcare services and medical treatments related to Surgical. The NPI Number for Patrick J Creedon is 1295836104. The last update date is 2017-04-12.

Patrick J Creedon's current location address is 28 Crescent St, Middletown, Connecticut. You can contact this provider via phone number 8603586394. The mailing address for Patrick J Creedon is 28 Crescent St, Middletown, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick J Creedon
Address 28 Crescent St, Middletown, Connecticut
Phone Number 8603586394
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1295836104
Provider Enumeration Date 2006-09-25
Last Updated Date 2017-04-12

Provider Mailing Address Detail

Address 28 Crescent St
City Middletown
State Connecticut (CT)
Post Code 64573654
Phone Number 8603586394
Fax Number

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 1265
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3012655 CT --

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FAQs about Patrick J Creedon

What is the unique 10-digit identification code issued to Patrick J Creedon by the Centers for Medicare & Medicaid Services?

The Patrick J Creedon has been assigned the NPI (National Provider Identifier) 1295836104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Patrick J Creedon is physically located?

The Patrick J Creedon is physically situated at the following address: 28 Crescent St, Middletown, CT, 64573654.

What is the area of specialization for Patrick J Creedon, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Patrick J Creedon is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.

When did Patrick J Creedon receive its 1295836104 assignment?

The Patrick J Creedon was assigned its 1295836104 on 2006-09-25, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Patrick J Creedon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Patrick J Creedon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-12.

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