Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD442124 | PA |
N | 111NI0900X | Internist | MD442124 | PA |
N | 208000000X | Pediatrician | MD442124 | PA |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD442124 | PA |
NPI | 1255538559 |
---|---|
Provider Name | Dr. Dava Elizabeth Szalda |
First Address | Philadelphia, PA 19104-5127 |
Second Address | Philadelphia, PA 19104-5127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 25/09/2019 |