Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 0401008071 | VA |
NPI | 1124080908 |
---|---|
Provider Name | Dr. Alan Frederick Shernoff |
First Address | Durham, NC 27705-3875 |
Second Address | Durham, NC 27705-3875 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 08/07/2007 |