Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD031478E | PA |
N | 111NI0900X | Internist | MD031478E | PA |
Y | 207RG0300X | Geriatric Medicine | MD031478E | PA |
NPI | 1013064377 |
---|---|
Provider Name | Dr. Daniel Haimowitz |
First Address | Levittown, PA 19057-3411 |
Second Address | Levittown, PA 19057-3411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 22/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010663840002 | (05) | PA |
B40784 | (02) |