Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC003148L | PA |
Y | 222Z00000X | Podiatrist | SC003148L | PA |
N | 213EP0504X | Public Medicine | SC003148L | PA |
N | 213EP1101X | Primary Podiatric Medicine | SC003148L | PA |
N | 111NR0200X | Radiology | SC003148L | PA |
N | 213ER0200X | Radiology | SC003148L | PA |
N | 2081S0010X | Sports Medicine | SC003148L | PA |
N | 213ES0000X | Sports Medicine | SC003148L | PA |
NPI | 1326033853 |
---|---|
Provider Name | Dr. Gregory Jay Saperstein |
First Address | Lower Burrell, PA 15068-2858 |
Second Address | Lower Burrell, PA 15068-2858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2005 |
Last Update Date | 16/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T30471 | (02) | PA |