Tom Bozzay is a Physician Assistant in Milwaukee, Wisconsin. Tom Bozzay practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Tom Bozzay is 1639346620. The last update date is 2008-05-09.
Tom Bozzay's current location address is 111 E Wisconsin Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4142906720 and fax number 4142906755. The mailing address for Tom Bozzay is 111 E Wisconsin Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom Bozzay |
|---|---|
| Address | 111 E Wisconsin Ave, Milwaukee, Wisconsin |
| Phone Number | 4142906720 |
| Fax Number | 4142906755 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1639346620 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 111 E Wisconsin Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532024815 |
| Phone Number | 4142906720 |
| Fax Number | 4142906755 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002816 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Tom Bozzay by the Centers for Medicare & Medicaid Services (CMS)?
The Tom Bozzay has been assigned the NPI (National Provider Identifier) 1639346620. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Tom Bozzay's physical address?
The Tom Bozzay is physically located at 111 E Wisconsin Ave, in the city of Milwaukee, WI, with the postal code 532024815.
What is Tom Bozzay's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tom Bozzay is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did Tom Bozzay receive its 1639346620 assignment from the Centers for Medicare & Medicaid Services?
The Tom Bozzay was assigned its 1639346620 on 2008-05-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Tom Bozzay most recently updated or revised?
The details related to Tom Bozzay, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-09.
NPI Number: 1023011681
Address: 506 Cromwell Ave, Rocky Hill, CT