Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD 431269 | PA |
NPI | 1346491677 |
---|---|
Provider Name | Dr. Rolando Stalin Campos Flores |
First Address | Philadelphia, PA 19120-2421 |
Second Address | Philadelphia, PA 19141-3030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2008 |
Last Update Date | 08/07/2009 |