Jason N Dacruz is a Medical in Farmington, Connecticut. Jason N Dacruz practices all healthcare services and medical treatments related to Medical. The NPI Number for Jason N Dacruz is 1417034786. The last update date is 2012-03-08.
Jason N Dacruz's current location address is 270 Farmington Ave, Farmington, Connecticut. You can contact this provider via phone number 8605498276. The mailing address for Jason N Dacruz is 270 Farmington Ave, Farmington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason N Dacruz |
|---|---|
| Address | 270 Farmington Ave, Farmington, Connecticut |
| Phone Number | 8605498276 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1417034786 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2012-03-08 |
Provider Mailing Address Detail
| Address | 270 Farmington Ave |
|---|---|
| City | Farmington |
| State | Connecticut (CT) |
| Post Code | 60321909 |
| Phone Number | 8605498276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3019478 | CT | -- |
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What is the Jason N Dacruz's 1417034786?
The Jason N Dacruz's NPI (National Provider Identifier) Number is 1417034786. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
When was the Jason N Dacruz's 1417034786 issued?
The Jason N Dacruz's 1417034786 was issued on 2006-11-01.
On what date did the Centers for Medicare & Medicaid Services issue the 1417034786 to Jason N Dacruz?
The Jason N Dacruz received its 1417034786 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
When was the Jason N Dacruz's information last updated?
The Jason N Dacruz's information was last updated on 2012-03-08.
When was the information pertaining to Jason N Dacruz most recently updated or revised?
The details related to Jason N Dacruz, including its address, specialty, and other relevant information, were last updated or revised on 2012-03-08.
NPI Number: 1982607784
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