Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | MD025488E | PA |
NPI | 1003953159 |
---|---|
Provider Name | Dr. Denise Hamilton Christian |
First Address | Philadelphia, PA 19144-1719 |
Second Address | Philadelphia, PA 19144-1719 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010785810003 | (05) | PA |
D68708 | (02) |