Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD045297E | PA |
NPI | 1063538395 |
---|---|
Provider Name | Dr. David E Mcginnis |
First Address | Bryn Mawr, PA 19010-1352 |
Second Address | Bryn Mawr, PA 19010-1352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F13133 | (02) | PA |