Theresa L Dematteo Pugh in Nottingham - Pediatrics
Theresa L Dematteo Pugh - NPI 1841390713
Theresa L Dematteo Pugh is a Pediatrics in Nottingham, Maryland. Theresa L Dematteo Pugh practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Theresa L Dematteo Pugh is 1841390713. The last update date is 2013-05-09.
Theresa L Dematteo Pugh's current location address is 4924 Campbell Blvd, Nottingham, Maryland. You can contact this provider via phone number 4434422300 and fax number 4434422360. The mailing address for Theresa L Dematteo Pugh is 4924 Campbell Blvd, Nottingham, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa L Dematteo Pugh |
|---|---|
| Address | 4924 Campbell Blvd, Nottingham, Maryland |
| Phone Number | 4434422300 |
| Fax Number | 4434422360 |
| Sole Proprietor | N |
| Credentials | MS CRNP |
NPI Number Detail
| NPI Number | 1841390713 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2013-05-09 |
Provider Mailing Address Detail
| Address | 4924 Campbell Blvd |
|---|---|
| City | Nottingham |
| State | Maryland (MD) |
| Post Code | 212365908 |
| Phone Number | 4434422300 |
| Fax Number | 4434422360 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R076644 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 622361300 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Theresa L Dematteo Pugh by the Centers for Medicare & Medicaid Services (CMS)?
The Theresa L Dematteo Pugh has been assigned the NPI (National Provider Identifier) 1841390713. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Theresa L Dematteo Pugh located?
The Theresa L Dematteo Pugh is located at 4924 Campbell Blvd, Nottingham, MD 212365908.
What is Theresa L Dematteo Pugh's area of expertise and its corresponding taxonomy classification?
The Theresa L Dematteo Pugh's field of specialization is Pediatrics, and it falls under the taxonomy code 363Lp0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1841390713 to Theresa L Dematteo Pugh?
The Centers for Medicare & Medicaid Services originally issued the 1841390713 to Theresa L Dematteo Pugh on 2006-09-22.
As of what date were the details pertaining to Theresa L Dematteo Pugh last refreshed?
The information related to the Theresa L Dematteo Pugh, including its address, specialty, and other relevant details, was last updated on 2013-05-09.