Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD417193 | PA |
NPI | 1003883844 |
---|---|
Provider Name | Dr. Joseph W Meyn |
First Address | Punxsutawney, PA 15767-2605 |
Second Address | Punxsutawney, PA 15767-2605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 20/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019574460006 | (05) | PA |
H91890 | (02) |