Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD008879E | PA |
NPI | 1982823761 |
---|---|
Provider Name | Dr. Myron Barry Lipson |
First Address | Newtown, PA 18940-1758 |
Second Address | Newtown, PA 18940-2144 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 13/04/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C27365 | (02) | PA |