Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 214133 | NY |
Y | 2080P0207X | Pediatric Hematology-Oncologist | C10008378 | DE |
N | 2080P0207X | Pediatric Hematology-Oncologist | ME124807 | FL |
NPI | 1053497990 |
---|---|
Provider Name | E Anders Kolb |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 28/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0136093 | (05) | NJ |
4132041 | (05) | MD |
H70442 | (02) | DE |