Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | MD027752L | PA |
NPI | 1063703239 |
---|---|
Provider Name | Dr. Maury Hoberman |
First Address | West Chester, PA 19382-2112 |
Second Address | West Chester, PA 19382-2112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2011 |
Last Update Date | 22/04/2011 |