Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD033247E | PA |
NPI | 1083670715 |
---|---|
Provider Name | Dr. Joseph M Kontra |
First Address | Lancaster, PA 17601-2644 |
Second Address | Lancaster, PA 17601-2644 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 28/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0014618710004 | (05) | PA |
082109 | MEDICARE PTAN/GROUP NUMBER (01) | PA |
C34405 | (02) | PA |