Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD-057140-L | PA |
N | 2084N0600X | Clinical Neurophysiologist | MD-057140-L | PA |
NPI | 1437179207 |
---|---|
Provider Name | Dr. Maromi Nei |
First Address | Philadelphia, PA 19107-5211 |
Second Address | Philadelphia, PA 19107-5509 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 09/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001726494 | (05) | PA |
7809107 | (05) | NJ |