Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MD038182E | PA |
NPI | 1053384651 |
---|---|
Provider Name | Dr. Jean M Payer |
First Address | Reading, PA 19612-3579 |
Second Address | West Reading, PA 19611-1410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 28/11/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001218780 | (05) | PA |
E73181 | (02) |