Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD039813L | PA |
Y | 208200000X | Surgeon | MD039813L | PA |
Y | 208600000X | Surgeon | MD039813L | PA |
NPI | 1184627143 |
---|---|
Provider Name | Dr. Francisco G Badosa |
First Address | Wynnewood, PA 19096-3450 |
Second Address | Wynnewood, PA 19096-3450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 13/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B41050 | (02) |