Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | OT016923 | PA |
NPI | 1013379981 |
---|---|
Provider Name | Chelsea Cambria |
First Address | Mc Kees Rocks, PA 15136-1380 |
Second Address | Lititz, PA 17543-7694 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2016 |
Last Update Date | 22/03/2016 |