Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | MD431797 | PA |
NPI | 1801844832 |
---|---|
Provider Name | Adwoa Essel |
First Address | Williamsport, PA 17701-1900 |
Second Address | Williamsport, PA 17701-3100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I49906 | (02) |