Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | C10006263 | DE |
N | 2080P0204X | Pediatric Emergency Doctor | C10006263 | DE |
NPI | 1316038672 |
---|---|
Provider Name | Dr. Andrew D. Depiero |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 13/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001851812 | (05) | PA |
0555151 | (05) | IA |
2508001 | (05) | MD |
7612188 | (05) | NC |
8558604 | (05) | NJ |
91013900 | (05) | FL |
G83418 | (02) |