Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD454535 | PA |
NPI | 1134394695 |
---|---|
Provider Name | Dr. Meredith L. Birsner |
First Address | Fountain Hill, PA 18015-1152 |
Second Address | Fountain Hill, PA 18015-1152 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 17/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0465267 | (05) | NJ |
053856600 | (05) | MD |
103061494 | (05) | PA |