Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD439177 | PA |
N | 111NI0900X | Internist | MD439177 | PA |
Y | 207RI0200X | Infectious Disease | MD439177 | PA |
NPI | 1013118876 |
---|---|
Provider Name | Dr. Bryan D Hess |
First Address | Philadelphia, PA 19107-5109 |
Second Address | Philadelphia, PA 19107-5109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 12/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0310212 | (05) | NJ |
102719147 | (05) | PA |