Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | C20004788 | DE |
Y | 208D00000X | General Practice Physician | C20004788 | DE |
NPI | 1043301427 |
---|---|
Provider Name | Dr. Anna Kolano |
First Address | Rockland, DE 19732-0191 |
Second Address | Newark, DE 19702-5708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 23/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1270061 | (05) | MD |
1592917 | (05) | PA |
6715265 | (05) | VA |
7003501 | (05) | NJ |
G84690 | (02) |