Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | MD469680 | PA |
NPI | 1134361884 |
---|---|
Provider Name | Bach-Mai Vu-Boast |
First Address | Pittsburgh, PA 15224-1334 |
Second Address | Lemoyne, PA 17043-1168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2009 |
Last Update Date | 20/08/2021 |