Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 269907 | NY |
Y | 204F00000X | Transplant Surgeon | MD456036 | PA |
N | 208200000X | Surgeon | MD456036 | PA |
N | 208600000X | Surgeon | MD456036 | PA |
NPI | 1851558860 |
---|---|
Provider Name | Christine Du |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6271 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2008 |
Last Update Date | 08/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1030555700001 | (05) | PA |