Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MD071318L | PA |
NPI | 1033102041 |
---|---|
Provider Name | Dr. Donna D Carstens |
First Address | Philadelphia, PA 19107-4316 |
Second Address | Philadelphia, PA 19107-4316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2005 |
Last Update Date | 30/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018118170001 | (05) | PA |
G26648 | (02) | PA |