Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD445258 | PA |
NPI | 1043478407 |
---|---|
Provider Name | Dr. Subhra Banerjee |
First Address | Camp Hill, PA 17011-2207 |
Second Address | Harrisburg, PA 17110-3673 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2008 |
Last Update Date | 15/09/2020 |