Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | OS008067-L | PA |
Y | 207QA0505X | Family Doctor - Adult Medicine | OS008067-L | PA |
NPI | 1194789214 |
---|---|
Provider Name | Dr. Alan Jay Popick |
First Address | Downingtown, PA 19335-2632 |
Second Address | Downingtown, PA 19335-2632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 26/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P64787 | (02) | PA |