Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | C10002824 | DE |
N | 208000000X | Pediatrician | C10002824 | DE |
NPI | 1104917483 |
---|---|
Provider Name | Dr. Louis E. Bartoshesky |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 03/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001072069 | (05) | PA |
02093763 | (05) | NY |
116514 | (05) | LA |
4429720 | (05) | DC |
6734588 | (05) | VA |
7159404 | (05) | NJ |
7456107 | (05) | MD |
C34651 | (02) | |
Q02824 | (05) | SC |