Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD008134E | PA |
Y | 208600000X | Surgeon | MD008134E | PA |
NPI | 1013175579 |
---|---|
Provider Name | David L. Paskin |
First Address | Philadelphia, PA 19107-5001 |
Second Address | Philadelphia, PA 19107-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 30/05/2008 |