Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD023276E | PA |
NPI | 1043291768 |
---|---|
Provider Name | Andrew J Solan |
First Address | Ridley Park, PA 19078-2035 |
Second Address | Ridley Park, PA 19078-2035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 06/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0013009140001 | (05) | PA |
E63515 | (02) | PA |