Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 25MA08889300 | NJ |
N | 207T00000X | Neurosurgeon | MD447260 | PA |
NPI | 1104001791 |
---|---|
Provider Name | Dr. Mandy Jo Binning |
First Address | Chester, PA 19013-3902 |
Second Address | Lawrenceville, NJ 08648-2300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2008 |
Last Update Date | 23/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0264270 | (05) | NJ |
1028486900001 | (05) | PA |