Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 16146 | WV |
Y | 2080P0202X | Pediatric Cardiologist | 16146 | WV |
NPI | 1154434223 |
---|---|
Provider Name | Dr. Stanley Einzig |
First Address | Morgantown, WV 26506-1200 |
Second Address | Morgantown, WV 26506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 06/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0106834000 | (05) | WV |
223503854 | TAX ID (01) | NJ |
8647909 | (05) | NJ |
A93876 | (02) | NJ |