Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | C10006785 | DE |
NPI | 1235229972 |
---|---|
Provider Name | Dr. N. Carolyn Schanen |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 04/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001945703 | (05) | PA |
2500690 | (05) | NY |
4014294 | (05) | MD |
9085602 | (05) | NJ |
G24859 | (02) |