Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0122X | Plastic and Reconstructive Surgery | MD161559 | OR |
NPI | 1326012493 |
---|---|
Provider Name | Dr. Ernest K Manders |
First Address | Pittsburgh, PA 15261-0001 |
Second Address | Pittsburgh, PA 15261-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 19/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000839680 | (05) | PA |
B40951 | (02) | PA |