Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 35054527 | OH |
N | 208000000X | Pediatrician | 35054527 | OH |
NPI | 1134190242 |
---|---|
Provider Name | Daniel W Pietryga |
First Address | Dublin, OH 43016-4144 |
Second Address | Columbus, OH 43214-3463 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 28/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0639401 | (05) | OH |