Larry Heredia in Wilmington - Anesthesiologist Assistant
Larry Heredia - NPI 1043302920
Larry Heredia is a Anesthesiologist Assistant in Wilmington, Delaware. Larry Heredia practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Larry Heredia is 1043302920. The last update date is 2019-12-27.
Larry Heredia's current location address is 1600 Rockland Road, Wilmington, Delaware. You can contact this provider via phone number 3026514200 and fax number 3026515365. The mailing address for Larry Heredia is 1600 Rockland Road, Wilmington, Delaware. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Heredia |
|---|---|
| Address | 1600 Rockland Road, Wilmington, Delaware |
| Phone Number | 3026514200 |
| Fax Number | 3026515365 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1043302920 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2019-12-27 |
Provider Mailing Address Detail
| Address | 1600 Rockland Road |
|---|---|
| City | Wilmington |
| State | Delaware (DE) |
| Post Code | 198033607 |
| Phone Number | 3026514200 |
| Fax Number | 3026515365 |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
| Licence No | L60A00240 |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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What is the unique identifier code issued to Larry Heredia by the Centers for Medicare & Medicaid Services?
The Larry Heredia has been assigned the NPI (National Provider Identifier) 1043302920. 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 Larry Heredia is physically located?
The Larry Heredia is situated at the following address: 1600 Rockland Road, Wilmington, DE 198033607.
What is the Larry Heredia's area of specialization and corresponding taxonomy classification?
The Larry Heredia's specialty field is Anesthesiologist Assistant, and it falls under the taxonomy code 367H00000X, which categorizes healthcare providers based on their specialties.
On what date did Larry Heredia receive its 1043302920 assignment from the Centers for Medicare & Medicaid Services?
The Larry Heredia was assigned its 1043302920 on 2006-09-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Larry Heredia last refreshed?
The information related to the Larry Heredia, including its address, specialty, and other relevant details, was last updated on 2019-12-27.