Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD442603 | PA |
N | 208600000X | Surgeon | MD442603 | PA |
Y | 2086S0102X | Surgical Critical Care | MD442603 | PA |
NPI | 1003857095 |
---|---|
Provider Name | Allan S Philp JR. |
First Address | Pittsburgh, PA 15212-4756 |
Second Address | Pittsburgh, PA 15212-4756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 08/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102577328 | (05) | PA |
10754107 | CAQH (01) |