Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD-037315-E | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD037315E | PA |
NPI | 1124137708 |
---|---|
Provider Name | Daniel S Contrafatto |
First Address | Jeannette, PA 15644-2538 |
Second Address | Greensburg, PA 15601-2775 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 16/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001089389 | (05) | PA |
B40030 | (02) | PA |