Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD459154 | PA |
NPI | 1023451259 |
---|---|
Provider Name | Dr. Eric Jason Shiffrin |
First Address | Philadelphia, PA 19107-6810 |
Second Address | Philadelphia, PA 19107-6810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2013 |
Last Update Date | 23/11/2018 |