Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD460311 | PA |
N | 208600000X | Surgeon | MD460311 | PA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | MD460311 | PA |
NPI | 1134395668 |
---|---|
Provider Name | Dr. Yee Cheng Low |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 01/04/2019 |