Marybeth Holak is a Family in New Haven, Connecticut. Marybeth Holak practices all healthcare services and medical treatments related to Family. The NPI Number for Marybeth Holak is 1518067230. The last update date is 2020-10-30.
Marybeth Holak's current location address is 400 Columbus Avenue, New Haven, Connecticut. You can contact this provider via phone number 2035033000 and fax number 2035036515. The mailing address for Marybeth Holak is 400 Columbus Avenue, New Haven, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marybeth Holak |
|---|---|
| Address | 400 Columbus Avenue, New Haven, Connecticut |
| Phone Number | 2035033000 |
| Fax Number | 2035036515 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1518067230 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2020-10-30 |
Provider Mailing Address Detail
| Address | 400 Columbus Avenue |
|---|---|
| City | New Haven |
| State | Connecticut (CT) |
| Post Code | 65191233 |
| Phone Number | 2035033000 |
| Fax Number | 2035036515 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 6944 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P61979 | NH | ANTHEM BCBS | |
| 8075168 | CT | -- | |
| P00067536 | NH | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Marybeth Holak by the Centers for Medicare & Medicaid Services?
The Marybeth Holak has been assigned the NPI (National Provider Identifier) 1518067230. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marybeth Holak is physically located?
The Marybeth Holak is situated at the following address: 400 Columbus Avenue, New Haven, CT 65191233.
What is Marybeth Holak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marybeth Holak's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518067230 to Marybeth Holak?
The Centers for Medicare & Medicaid Services assigned the 1518067230 to Marybeth Holak on 2006-09-23.
When was the information related to Marybeth Holak most recently updated or refreshed?
The details pertaining to the Marybeth Holak, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-10-30.
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