Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | ME134341 | FL |
N | 207RA0401X | Internist - Addiction Medicine | ME134341 | FL |
N | 207V00000X | Obstetrician & Gynecologist | 019036E | PA |
NPI | 1154327682 |
---|---|
Provider Name | Dr. William Arthur Prin |
First Address | Hanover, PA 17331-1956 |
Second Address | Parkland, FL 33076-4450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2005 |
Last Update Date | 03/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0725723 | (05) | PA |