Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0204X | Pediatric Emergency Doctor | 20729 MD | DC |
N | 2080P0204X | Pediatric Emergency Doctor | D0050568 | MD |
Y | 2080P0204X | Pediatric Emergency Doctor | MD 052098L | PA |
NPI | 1104881697 |
---|---|
Provider Name | Dr. Terry Alayne Adirim |
First Address | Philadelphia, PA 19134-1043 |
Second Address | Philadelphia, PA 19134-1043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 21/11/2013 |