Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD073657L | PA |
NPI | 1003893488 |
---|---|
Provider Name | David M Comperatore |
First Address | Wilmington, DE 19804-0012 |
Second Address | Abington, PA 19001-3720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018514650001 | (05) | PA |
H43764 | (02) |