Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD056707L | PA |
N | 208200000X | Surgeon | MD056707L | PA |
N | 208600000X | Surgeon | MD056707L | PA |
NPI | 1558381186 |
---|---|
Provider Name | Dr. Carlo- Gerardo B. Ramirez |
First Address | Philadelphia, PA 19107-5563 |
Second Address | Philadelphia, PA 19107-5563 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 01/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0040339 | (05) | NJ |
101045556 | (05) | PA |