Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | G33880 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | 118422 | NY |
N | 207RA0201X | Internist - Allergy & Immunology | 25MA05760500 | NJ |
N | 208000000X | Pediatrician | G33880 | CA |
NPI | 1306938337 |
---|---|
Provider Name | Dr. Marjorie L Slankard |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-2758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 27/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
108636 | UNITED HEALTHCARE (01) | NY |
1796867-002 | CIGNA (01) | NY |
B00077 | (02) | NJ |
B00077 | (02) | NY |
NL9296 | GUARDIAN (01) | NJ |
NS1113 | OXFORD (01) | NJ |
NS1113 | OXFORD (01) | NY |
NY2078 | GUARDIAN (01) | NY |