Mayo R Funderburg II LADCA

  • NPI 1053612192
According to our database, the NPI number for Mayo R Funderburg II LADCA is 1053612192 and activated since 13 years ago. Mayo R Funderburg II LADCA is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 20 Vesper Ln Unit L1, Nantucket, MA 02554. You can also contact Mayo R Funderburg II LADCA via telephone number is (508) 228-2689. Provider NPI information was last updated on 11/05/2010.

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Overview of Mayo R Funderburg II LADCA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/05/2010
  • Last updated: 11/05/2010

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 2282
  • License State: MA

Provider Mailing Address

  • Address: 20 Vesper Ln Unit L1
    Nantucket, MA 02554
  • Phone: 508-228-2689
  • Fax: 508-228-3613

Provider Practice Location

  • Address: 20 Vesper Ln Unit L1
    Nantucket, MA 02554
  • Phone: 508-228-2689
  • Fax: 508-228-3613

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 2282
  • License State: MA
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mayo R Funderburg II LADCA?
  • A: The npi number for Mayo R Funderburg II LADCA is 1053612192.
  • Q: What are Mayo R Funderburg II LADCA's specialties?
  • A: Mayo R Funderburg II LADCA's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Mayo R Funderburg II LADCA?
  • A: The medical license number for Mayo R Funderburg II LADCA is 2282 and issued in MA in USA.
  • Q: Where is Mayo R Funderburg II LADCA practice location?
  • A: Mayo R Funderburg II LADCA is practicing at 20 Vesper Ln Unit L1, Nantucket, MA 02554.
  • Q: How to contact Mayo R Funderburg II LADCA?
  • A: You can contact Mayo R Funderburg II LADCA via 508-228-2689.