Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 199175 | NY |
N | 208000000X | Pediatrician | MD462941 | PA |
Y | 2080P0204X | Pediatric Emergency Doctor | MD462941 | PA |
NPI | 1245364009 |
---|---|
Provider Name | Dr. Geoffrey Everett |
First Address | Rockland, DE 19732-0191 |
Second Address | Philadelphia, PA 19134-1011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2007 |
Last Update Date | 30/01/2019 |