Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD029788E | PA |
NPI | 1013025113 |
---|---|
Provider Name | Dr. Stephen Robin November |
First Address | Apo, AE 09630 0004 |
Second Address | Apo, AE 09630 0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2006 |
Last Update Date | 20/04/2008 |