Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD034753E | PA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD034753E | PA |
NPI | 1841287844 |
---|---|
Provider Name | Dr. Charles B. Krespan |
First Address | Lancaster, PA 17601-2433 |
Second Address | Lancaster, PA 17601-2433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 21/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1041741 | (05) | PA |
B421140 | (02) | PA |