Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | MD429301 | PA |
N | 208000000X | Pediatrician | MD429301 | PA |
Y | 2080P0201X | Pediatric Allergist | MD429301 | PA |
NPI | 1417162017 |
---|---|
Provider Name | Dr. Sigrid Payne Daveiga |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-3365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 12/04/2013 |