Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC003521L | PA |
Y | 222Z00000X | Podiatrist | SC003521L | PA |
N | 213EP1101X | Primary Podiatric Medicine | SC003521L | PA |
NPI | 1629051131 |
---|---|
Provider Name | Daniel Richard Molcsan JR. |
First Address | Pittsburgh, PA 15224-1722 |
Second Address | Pittsburgh, PA 15224-1722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 08/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001261244 | (05) | PA |
U24092 | (02) | PA |