Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | MD423265 | PA |
N | 207SG0201X | Clinical Genetics (M.D.) | MD423265 | PA |
NPI | 1912973447 |
---|---|
Provider Name | Dr. Gerard Vockley |
First Address | Pittsburgh, PA 15224 |
Second Address | Pittsburgh, PA 15213-3205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 17/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E47470 | (02) | PA |