Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 25MA10829700 | NJ |
Y | 207T00000X | Neurosurgeon | MD470402 | PA |
NPI | 1063855153 |
---|---|
Provider Name | Christian Hoelscher |
First Address | Philadelphia, PA 19107-4219 |
Second Address | Philadelphia, PA 19107-5211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2013 |
Last Update Date | 14/12/2020 |