Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 039997E | PA |
NPI | 1063419059 |
---|---|
Provider Name | Dr. Fredric V. Price |
First Address | Pittsburgh, PA 15212-4756 |
Second Address | Pittsburgh, PA 15212 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 12/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E43068 | (02) | PA |