Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | OS006435E | PA |
N | 208000000X | Pediatrician | OS006435E | PA |
NPI | 1073794095 |
---|---|
Provider Name | Dr. Bonnie A. Salbert |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-1339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2007 |
Last Update Date | 30/07/2020 |