Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD061898L | PA |
NPI | 1023051182 |
---|---|
Provider Name | Dr. Michael Louis Szatkowski |
First Address | Philadelphia, PA 19134-1095 |
Second Address | Philadelphia, PA 19134-1095 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 14/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018530670009 | (05) | PA |
H43038 | (02) | PA |