Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | C1-0008685 | DE |
N | 207VE0102X | Reproductive Endocrinologist | MD426616 | PA |
NPI | 1376504134 |
---|---|
Provider Name | Dr. Adrienne Buffan Neithardt |
First Address | Exton, PA 19341-2339 |
Second Address | Newark, DE 19713-2072 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 20/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H44640 | (02) | PA |