Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD039138E | PA |
NPI | 1053337295 |
---|---|
Provider Name | Dr. Bruce H Saidman |
First Address | Kingston, PA 18704-5535 |
Second Address | Kingston, PA 18704-5535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00011613650001 | (05) | PA |
R13002 | (02) | PA |