Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD424580 | PA |
N | 2080P0204X | Pediatric Emergency Doctor | MD424580 | PA |
NPI | 1043233083 |
---|---|
Provider Name | Christine B Sethna |
First Address | Philadelphia, PA 19103-1443 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 17/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0092975 | (05) | NJ |
101481840 | (05) | PA |
I49591 | (02) |