Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | C10005965 | DE |
N | 2080P0202X | Pediatric Cardiologist | MA07095300 | NJ |
N | 2080P0202X | Pediatric Cardiologist | MD070561L | PA |
NPI | 1124110903 |
---|---|
Provider Name | Dr. Samuel S. Gidding |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 14/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1798214 | (05) | PA |
2112650 | (05) | NY |
4840003 | (05) | MD |
64080625 | (05) | KY |
8205400 | (05) | NJ |
D15718 | (02) |