Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD029262L | PA |
NPI | 1588093918 |
---|---|
Provider Name | Dr. Rodrigue Mortel |
First Address | Hummelstown, PA 17036-9791 |
Second Address | Hummelstown, PA 17036-9791 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2013 |
Last Update Date | 06/11/2013 |