Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD022512E | PA |
NPI | 1043211089 |
---|---|
Provider Name | Dr. William B Mcnamee JR. |
First Address | Darby, PA 19023-1330 |
Second Address | Darby, PA 19023-1330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2005 |
Last Update Date | 02/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0008665250003 | (05) | PA |
C29372 | (02) | PA |