Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101055289 | VA |
Y | 2080P0214X | Pediatric Pulmonologist | 0101055289 | VA |
NPI | 1306897418 |
---|---|
Provider Name | Cynthia E. Epstein |
First Address | Baltimore, MD 21279-0137 |
Second Address | Norfolk, VA 23507-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2006 |
Last Update Date | 07/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010174431 | (05) | VA |
5900967 | (05) | NC |
H45862 | (02) |