Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 01046962A | IN |
NPI | 1245278308 |
---|---|
Provider Name | Dr. Andrew Jay Lipton |
First Address | Bethesda, MD 20889-5630 |
Second Address | Bethesda, MD 20889-5630 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 26/01/2017 |