Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 020584L | PA |
NPI | 1073600904 |
---|---|
Provider Name | Dr. Barry H. Rhome |
First Address | Philadelphia, PA 19102-3604 |
Second Address | Philadelphia, PA 19102-3604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 08/07/2007 |