Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101239822 | VA |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD422897 | PA |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD422897 | PA |
NPI | 1902817323 |
---|---|
Provider Name | Dr. Howard D Krein |
First Address | Philadelphia, PA 19107-4216 |
Second Address | Philadelphia, PA 19107-4216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 31/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0134678 | (05) | NJ |
101932207 | (05) | PA |