Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 8399 | AL |
NPI | 1023091378 |
---|---|
Provider Name | Dr. Meyer Edwin Dworsky |
First Address | Huntsville, AL 35804-2289 |
Second Address | Huntsville, AL 35801-3803 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2005 |
Last Update Date | 30/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009905635 | (05) | AL |
131299 | (05) | AL |
C76643 | (02) | AL |