Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 022799E | PA |
NPI | 1114983780 |
---|---|
Provider Name | Carolyn Kubik |
First Address | Pittsburgh, PA 15235-4566 |
Second Address | Pittsburgh, PA 15235-4520 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C30204 | (02) | PA |