Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DS037092 | PA |
NPI | 1013121862 |
---|---|
Provider Name | Charles Sfeir |
First Address | Pittsburgh, PA 15261-0001 |
Second Address | Pittsburgh, PA 15237-1627 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |