Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC-002280L | PA |
NPI | 1730112848 |
---|---|
Provider Name | Dr. L. Celia Malmad |
First Address | Quakertown, PA 18951-0299 |
Second Address | Quakertown, PA 18951-2310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 29/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0023351000 | HMO IDENTIFIER NUMBER (01) | PA |