Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | C10009008 | DE |
N | 2084N0402X | Child Neurologist | MD018259E | PA |
NPI | 1013106491 |
---|---|
Provider Name | Dr. Catherine F. Bodak-Gyovai |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2007 |
Last Update Date | 26/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000831682 | (05) | PA |
0459712-00 | (05) | MD |
7041403 | (05) | NJ |
C30477 | (02) | PA |