1598998049 NPI number — MRS. EDA FUSCO GILDAY R.N. M.S.N. CEN.

Table of content: MRS. EDA FUSCO GILDAY R.N. M.S.N. CEN. (NPI 1598998049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598998049 NPI number — MRS. EDA FUSCO GILDAY R.N. M.S.N. CEN.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GILDAY
Provider First Name:
EDA
Provider Middle Name:
FUSCO
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
R.N. M.S.N. CEN.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FUSCO
Provider Other First Name:
EDA
Provider Other Middle Name:
SHARON
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
REGISTERED NURSE
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1598998049
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/01/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
263 ALDEN STREET
Provider Second Line Business Mailing Address:
SPRINGFIELD COLLEGE HEALTH CENTER
Provider Business Mailing Address City Name:
SPRINGFIELD
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01109-3707
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
413-748-3175
Provider Business Mailing Address Fax Number:
413-748-3444

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
263 ALDEN STREET
Provider Second Line Business Practice Location Address:
SPRINGFIELD COLLEGE HEALTH CENTER
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01109-3707
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-748-3175
Provider Business Practice Location Address Fax Number:
413-748-3444
Provider Enumeration Date:
09/01/2009

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: 363LP0200X , with the licence number:  121478 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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