Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD045111L | PA |
NPI | 1225005408 |
---|---|
Provider Name | Dr. Linda M. Famiglio |
First Address | Danville, PA 17821 |
Second Address | Williamsport, PA 17701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 30/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001252960 | (05) | PA |
E99903 | (02) |