Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | OS003744L | PA |
NPI | 1033309497 |
---|---|
Provider Name | Dr. Sylvia Alfreda Webster |
First Address | Haverford, PA 19041-0540 |
Second Address | Philadelphia, PA 19102-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2007 |
Last Update Date | 31/07/2007 |