Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD050792L | PA |
Y | 207VE0102X | Reproductive Endocrinologist | MD050792L | PA |
NPI | 1235128661 |
---|---|
Provider Name | Dr. Eric P Fiedler |
First Address | Lemoyne, PA 17043 |
Second Address | Lemoyne, PA 17043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 23/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F89850 | (02) |