Meredith Caroline Liddle in Canonsburg - Surgical
Meredith Caroline Liddle - NPI 1043210073
Meredith Caroline Liddle is a Surgical in Canonsburg, Pennsylvania. Meredith Caroline Liddle practices all healthcare services and medical treatments related to Surgical. The NPI Number for Meredith Caroline Liddle is 1043210073. The last update date is 2022-07-11.
Meredith Caroline Liddle's current location address is 100 Medical Blvd, Canonsburg, Pennsylvania. You can contact this provider via phone number 4124697110. The mailing address for Meredith Caroline Liddle is 100 Medical Blvd, Canonsburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Meredith Caroline Liddle |
|---|---|
| Address | 100 Medical Blvd, Canonsburg, Pennsylvania |
| Phone Number | 4124697110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1043210073 |
|---|---|
| Provider Enumeration Date | 2005-08-01 |
| Last Updated Date | 2022-07-11 |
Provider Mailing Address Detail
| Address | 100 Medical Blvd |
|---|---|
| City | Canonsburg |
| State | Pennsylvania (PA) |
| Post Code | 153179762 |
| Phone Number | 4124697110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | MA051956 |
|
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 |
|---|---|---|---|
| 12304260 | CAQH |
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What is the Meredith Caroline Liddle's unique identification number?
The Meredith Caroline Liddle has been assigned the NPI (National Provider Identifier) Number 1043210073 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Meredith Caroline Liddle located?
The Meredith Caroline Liddle is located at 100 Medical Blvd, Canonsburg, PA 153179762.
What is Meredith Caroline Liddle's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Meredith Caroline Liddle is Surgical, and the taxonomy classification code that categorizes this area of expertise is 363As0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043210073 to Meredith Caroline Liddle?
The Centers for Medicare & Medicaid Services assigned the 1043210073 to Meredith Caroline Liddle on 2005-08-01.
As of what date were the Meredith Caroline Liddle's details last updated?
The information pertaining to the Meredith Caroline Liddle, including its address, specialty, and other details, was most recently updated on 2022-07-11.
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