Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD068228L | PA |
N | 2080A0000X | Adolescent Medicine | MD068228L | PA |
NPI | 1255327177 |
---|---|
Provider Name | Dr. Andrea Argeson |
First Address | Stroudsburg, PA 18360-7566 |
Second Address | Stroudsburg, PA 18360-7566 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2005 |
Last Update Date | 02/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001750542000 | (05) | PA |
H83179 | (02) | PA |