Stephanie Marie Mado Pena in Waltham - Surgical
Stephanie Marie Mado Pena - NPI 1558486985
Stephanie Marie Mado Pena is a Surgical in Waltham, Massachusetts. Stephanie Marie Mado Pena practices all healthcare services and medical treatments related to Surgical. The NPI Number for Stephanie Marie Mado Pena is 1558486985. The last update date is 2012-10-03.
Stephanie Marie Mado Pena's current location address is 47 Rich St Apt A, Waltham, Massachusetts. You can contact this provider via phone number 6177214671. The mailing address for Stephanie Marie Mado Pena is 47 Rich St Apt A, Waltham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie Marie Mado Pena |
|---|---|
| Address | 47 Rich St Apt A, Waltham, Massachusetts |
| Phone Number | 6177214671 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1558486985 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2012-10-03 |
Provider Mailing Address Detail
| Address | 47 Rich St Apt A |
|---|---|
| City | Waltham |
| State | Massachusetts (MA) |
| Post Code | 24513693 |
| Phone Number | 6177214671 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | AP2050 |
|
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 |
|---|---|---|---|
| MA-AP2561 | MA | PROVIDER ID NUMBER |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stephanie Marie Mado Pena?
The Stephanie Marie Mado Pena has been issued the NPI (National Provider Identifier) 1558486985 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 Stephanie Marie Mado Pena is physically located?
The Stephanie Marie Mado Pena is situated at the following address: 47 Rich St Apt A, Waltham, MA 24513693.
What is the Stephanie Marie Mado Pena's specialty and taxonomy code?
The Stephanie Marie Mado Pena's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Stephanie Marie Mado Pena receive the assignment of its 1558486985 from the Centers for Medicare & Medicaid Services?
The Stephanie Marie Mado Pena was issued its 1558486985 by the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date were the details pertaining to Stephanie Marie Mado Pena last refreshed?
The information related to the Stephanie Marie Mado Pena, including its address, specialty, and other relevant details, was last updated on 2012-10-03.
NPI Number: 1881683084
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