Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD431700 | PA |
Y | 207YS0123X | Facial Plastic Surgeon | MD431700 | PA |
NPI | 1134230436 |
---|---|
Provider Name | Dr. Christopher Randall Hove |
First Address | Paoli, PA 19301-1748 |
Second Address | Paoli, PA 19301-1748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 06/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H41693 | (02) |