Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MA053747 | PA |
NPI | 1205071297 |
---|---|
Provider Name | Bethia A. Cawley |
First Address | Philadelphia, PA 19148-3542 |
Second Address | Philadelphia, PA 19135-2436 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2008 |
Last Update Date | 23/12/2020 |