Andrew C Fossum in Farmington - Student In An Organized Health Care Education/training Program

Andrew C Fossum - NPI 1699921403

Andrew C Fossum is a Student In An Organized Health Care Education/training Program in Farmington, Connecticut. Andrew C Fossum practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Andrew C Fossum is 1699921403. The last update date is 2016-07-08.

Andrew C Fossum's current location address is 263 Farmington Ave, Farmington, Connecticut. You can contact this provider via phone number 8606792000. The mailing address for Andrew C Fossum is 263 Farmington Ave, Farmington, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew C Fossum
Address 263 Farmington Ave, Farmington, Connecticut
Phone Number 8606792000
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1699921403
Provider Enumeration Date 2008-08-12
Last Updated Date 2016-07-08

Provider Mailing Address Detail

Address 263 Farmington Ave
City Farmington
State Connecticut (CT)
Post Code 60300001
Phone Number 8606792000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No 11588
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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FAQs about Andrew C Fossum

What is the unique identifier code issued to Andrew C Fossum by the Centers for Medicare & Medicaid Services (CMS)?

The Andrew C Fossum has been assigned the NPI (National Provider Identifier) 1699921403. 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 Andrew C Fossum is geographically located?

The Andrew C Fossum is physically situated at the following location: 263 Farmington Ave, Farmington, CT, 60300001.

What is Andrew C Fossum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Andrew C Fossum is Student In An Organized Health Care Education/training Program, and the taxonomy code that categorizes this field of expertise is 390200000X.

On what date did Andrew C Fossum receive its 1699921403 assignment from the Centers for Medicare & Medicaid Services?

The Andrew C Fossum was assigned its 1699921403 on 2008-08-12, 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 Andrew C Fossum most recently updated or revised?

The details related to Andrew C Fossum, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-08.

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