Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD047668L | PA |
NPI | 1174580971 |
---|---|
Provider Name | Alfred George Neubert |
First Address | Reading, PA 19612-4623 |
Second Address | West Reading, PA 19611 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001425688 | (05) | PA |
F53448 | (02) |