Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS035586 | PA |
N | 204E00000X | Oral & Maxillofacial Surgeon | MD434079 | PA |
NPI | 1346418241 |
---|---|
Provider Name | Dr. Jonathan L Voiner |
First Address | Paoli, PA 19301 |
Second Address | Paoli, PA 19301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2008 |
Last Update Date | 09/04/2012 |