Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | DC003853L | PA |
NPI | 1215021241 |
---|---|
Provider Name | Edward C Sobel |
First Address | Cheltenham, PA 19012-1218 |
Second Address | Cheltenham, PA 19012-1218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1453569 | (02) | PA |
2139454000 | (02) | PA |