Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | SC007046 | PA |
NPI | 1245883008 |
---|---|
Provider Name | Dr. Varnel Noel |
First Address | Merion Station, PA 19066-1826 |
Second Address | Merion Station, PA 19066-1826 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2019 |
Last Update Date | 22/07/2019 |