Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | MD033578L | PA |
NPI | 1003829524 |
---|---|
Provider Name | Dr. Aurora Dee Tin |
First Address | Philadelphia, PA 19146-1613 |
Second Address | Philadelphia, PA 19132-4627 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C31674 | (02) | PA |