Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MD017873E | PA |
NPI | 1174597850 |
---|---|
Provider Name | Dr. Albert M. Bernath JR. |
First Address | Danville, PA 17822-3034 |
Second Address | Danville, PA 17822-2001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C30849 | (02) |