Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | SC002909L | PA |
NPI | 1245326495 |
---|---|
Provider Name | Dr. Brian Szabo |
First Address | Hermitage, PA 16148-2536 |
Second Address | Hermitage, PA 16148-2536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 06/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010471460004 | (05) | PA |
T29590 | (02) | PA |