Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD024432E | PA |
NPI | 1043281264 |
---|---|
Provider Name | Attilio Negro |
First Address | Greensburg, PA 15601-2746 |
Second Address | Greensburg, PA 15601-5777 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010220110003 | (05) | PA |
B96837 | (02) | PA |