Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 15969 | KY |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 15969 | DC |
NPI | 1174746465 |
---|---|
Provider Name | Dr. Richard William Albert |
First Address | Washington, DC 20008-2318 |
Second Address | Washington, DC 20008-2318 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0468120 | (05) | VA |