Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MT224164 | PA |
NPI | 1003485426 |
---|---|
Provider Name | Dr. Alan Barte |
First Address | Philadelphia, PA 19141-3098 |
Second Address | Philadelphia, PA 19141-3098 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2021 |
Last Update Date | 21/06/2021 |