NPI 1225244379 HIPOLITO MANCE CUSTODIO M.D. RICHLAND WA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Hipolito Mance Custodio - NPI: 1225244379

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: HIPOLITO MANCE CUSTODIO
NPI Number: 1225244379
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: MT186614
Business Practice Address: 945 Goethals Dr
Suite 200 Richland, WA - 993523552
Business Phone Number: 5099422555
Business Fax Number: 5099422340
Mailing Address: 945 Goethals Dr, Suite 200
RICHLAND
State: WA
Postal Code: 993523552
Phone Number: 5099422555
Fax Number: 5099422268
NPI Enumeration Date: 05/15/2007
NPI Last Update Date: 02/26/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 207V00000X
License Number: MT186614
Healthcare Provider Taxonomy:
(Secondary)
N
State: PA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Obstetrics & Gynecology
Taxonomy Specialization:
Taxonomy Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.


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