Edna J Dycoco
MD | Pediatrics | Female
Edna J Dycoco, MD is a Cambridge, Ohio based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Edna J Dycoco is
64979 Old Twenty On Road, Cambridge, Ohio - 43725-9619. She can be contacted on phone at
740-432-6628 and fax number 740-432-5531.
Edna J Dycoco is a sole proprietor of her business.
NPI number (Unique professional ID) for Edna J Dycoco is
1629153119 which was assigned by NPPES on 25 Oct, 2006 and it was last updated on 08 Jul, 2007.
Edna J Dycoco license number is
35056228 for Pediatrics (208000000X) in Ohio.
Edna J Dycoco is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Edna J Dycoco basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Edna J Dycoco |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Edna J Dycoco address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 64979 Old Twenty On Road
Cambridge, OH, 43725-9619
United States |
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| Phone Number : | 740-432-6628 |
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| Fax Number : | 740-432-5531 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629153119 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 Oct, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edna J Dycoco are as mentioned. Primary taxonomy code for Edna J Dycoco, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 129969 | NY |
| 208000000X | Pediatrics | Yes | 35056228 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Edna J Dycoco such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1001723 | Other | | AETNA |
| 000000153673 | Other | | ANTHEM |
| C0006228 | Other | | HEALTH PLAN |
| 0803885 | MEDICAID | OH | |
| 1200145 | Other | | UNITED HEALTHCARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 64979 Old Twenty On Road
Cambridge, OH, 43725-9619
United States |
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| Phone Number : | 740-432-6628 |
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| Fax Number : | 740-432-5531 |
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Business Location:
Patients can refer following map for directions to
Edna J Dycoco practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.