Donna C Iddings is a Surgical in Fairhaven, Massachusetts. Donna C Iddings practices all healthcare services and medical treatments related to Surgical. The NPI Number for Donna C Iddings is 1396742649. The last update date is 2020-05-13.
Donna C Iddings's current location address is 200 Mill Rd, Fairhaven, Massachusetts. You can contact this provider via phone number 5089732000 and fax number 5089732001. The mailing address for Donna C Iddings is 200 Mill Rd, Fairhaven, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donna C Iddings |
|---|---|
| Address | 200 Mill Rd, Fairhaven, Massachusetts |
| Phone Number | 5089732000 |
| Fax Number | 5089732001 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396742649 |
|---|---|
| Provider Enumeration Date | 2005-07-01 |
| Last Updated Date | 2020-05-13 |
Provider Mailing Address Detail
| Address | 200 Mill Rd |
|---|---|
| City | Fairhaven |
| State | Massachusetts (MA) |
| Post Code | 27195252 |
| Phone Number | 5089732000 |
| Fax Number | 5089732001 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA00207 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410229 | RI | RI BL;UE CHIP | |
| 30813 | PR | RI BC/BS | |
| RI00039 | RI | -- |
Post Comment/ Review Below
What is the Donna C Iddings's unique identification number?
The Donna C Iddings has been assigned the NPI (National Provider Identifier) Number 1396742649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Donna C Iddings is physically located?
The Donna C Iddings is physically situated at the following address: 200 Mill Rd, Fairhaven, MA, 27195252.
When did the Donna C Iddings receive its 1396742649?
The Donna C Iddings was issued its 1396742649 on 2005-07-01, which is the date when the organization was assigned this unique identifier.
As of what date were the Donna C Iddings's details last updated?
The information pertaining to the Donna C Iddings, including its address, specialty, and other details, was most recently updated on 2020-05-13.
As of what date were the details related to Donna C Iddings most recently updated or revised?
The information pertaining to Donna C Iddings, including its address, specialty, and other relevant details, was last updated or revised on 2020-05-13.