Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | C10004749 | DE |
NPI | 1679665467 |
---|---|
Provider Name | Dr. Stephen J. Mcgeady |
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 | 24/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1322605 | (05) | NJ |
4421790 | (05) | DC |
666050 | (05) | PA |
6714111 | (05) | VA |
7141343 | (05) | MD |
B39163 | (02) |