Jay Servando Antioquia Capunitan in Brockton - Student In An Organized Health Care Education/training Program
Jay Servando Antioquia Capunitan - NPI 1619155645
Jay Servando Antioquia Capunitan is a Student In An Organized Health Care Education/training Program in Brockton, Massachusetts. Jay Servando Antioquia Capunitan practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Jay Servando Antioquia Capunitan is 1619155645. The last update date is 2013-01-10.
Jay Servando Antioquia Capunitan's current location address is 63 Main St, Brockton, Massachusetts. You can contact this provider via phone number 5085596699 and fax number 5085595073. The mailing address for Jay Servando Antioquia Capunitan is 63 Main St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Servando Antioquia Capunitan |
|---|---|
| Address | 63 Main St, Brockton, Massachusetts |
| Phone Number | 5085596699 |
| Fax Number | 5085595073 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619155645 |
|---|---|
| Provider Enumeration Date | 2008-01-31 |
| Last Updated Date | 2013-01-10 |
Provider Mailing Address Detail
| Address | 63 Main St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23014042 |
| Phone Number | 5085596699 |
| Fax Number | 5085595073 |
Provider's Primary Taxonomy Detail
| Speciality | Student In An Organized Health Care Education/training Program |
|---|---|
| Taxonomy | 390200000X |
|
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Jay Servando Antioquia Capunitan?
The Jay Servando Antioquia Capunitan has been issued the NPI (National Provider Identifier) 1619155645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jay Servando Antioquia Capunitan's facilities are situated?
The facilities of Jay Servando Antioquia Capunitan are physically located at the following address: 63 Main St, Brockton, MA, 23014042.
What is Jay Servando Antioquia Capunitan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jay Servando Antioquia Capunitan is Student In An Organized Health Care Education/training Program, and the taxonomy classification code that categorizes this area of expertise is 390200000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619155645 to Jay Servando Antioquia Capunitan?
The Jay Servando Antioquia Capunitan received its 1619155645 assignment from the Centers for Medicare & Medicaid Services on 2008-01-31.
When was the Jay Servando Antioquia Capunitan's information last updated?
The Jay Servando Antioquia Capunitan's information was last updated on 2013-01-10.
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