Susan H. Roderick in Provincetown - Pediatrics
Susan H. Roderick - NPI 1518022045
Susan H. Roderick is a Pediatrics in Provincetown, Massachusetts. Susan H. Roderick practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan H. Roderick is 1518022045. The last update date is 2011-12-08.
Susan H. Roderick's current location address is 49 Harry Kemp Way, Provincetown, Massachusetts. You can contact this provider via phone number 5084879395 and fax number 5084873285. The mailing address for Susan H. Roderick is 49 Harry Kemp Way, Provincetown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan H. Roderick |
|---|---|
| Address | 49 Harry Kemp Way, Provincetown, Massachusetts |
| Phone Number | 5084879395 |
| Fax Number | 5084873285 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1518022045 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 49 Harry Kemp Way |
|---|---|
| City | Provincetown |
| State | Massachusetts (MA) |
| Post Code | 26571618 |
| Phone Number | 5084879395 |
| Fax Number | 5084873285 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | MA113351 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique identifier code issued to Susan H. Roderick by the Centers for Medicare & Medicaid Services (CMS)?
The Susan H. Roderick has been assigned the NPI (National Provider Identifier) 1518022045. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Susan H. Roderick is geographically located?
The Susan H. Roderick is physically situated at the following location: 49 Harry Kemp Way, Provincetown, MA, 26571618.
What is Susan H. Roderick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan H. Roderick is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Susan H. Roderick receive its 1518022045 assignment from the Centers for Medicare & Medicaid Services?
The Susan H. Roderick was assigned its 1518022045 by the Centers for Medicare & Medicaid Services on 2006-12-26.
As of what date were the details related to Susan H. Roderick most recently updated or revised?
The information pertaining to Susan H. Roderick, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-08.