Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS023398L | PA |
NPI | 1093783557 |
---|---|
Provider Name | Dr. Mark Wilson Ochs |
First Address | Pittsburgh, PA 15261 |
Second Address | Pittsburgh, PA 15261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 16/02/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1284982 | (05) | PA |
E23048 | (02) | PA |