1063559177 NPI number — MRS. TANIA M PARISE PT

Table of content: (NPI 1184643595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063559177 NPI number — MRS. TANIA M PARISE PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARISE
Provider First Name:
TANIA
Provider Middle Name:
M
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063559177
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1ST MEDICAL GROUP
Provider Second Line Business Mailing Address:
45 PINE RD
Provider Business Mailing Address City Name:
LANGLEY AFB
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23665-2080
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
757-764-6963
Provider Business Mailing Address Fax Number:
757-764-0975

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1ST MEDICAL GROUP
Provider Second Line Business Practice Location Address:
45 PINE RD
Provider Business Practice Location Address City Name:
LANGLEY AFB
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23665-2080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-764-6963
Provider Business Practice Location Address Fax Number:
757-764-0975
Provider Enumeration Date:
01/30/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171000000X , with the licence number:  PT 21340 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)