Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | P9638 | TX |
Y | 2080P0210X | Pediatric Nephrologist | P9638 | TX |
NPI | 1558660423 |
---|---|
Provider Name | Dr. German Andres Lozano Guzman |
First Address | Philadelphia, PA 19134 |
Second Address | Philadelphia, PA 19134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2011 |
Last Update Date | 26/01/2021 |