Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MT217625 | PA |
Y | 111NI0900X | Internist | MT217625 | PA |
NPI | 1003475799 |
---|---|
Provider Name | Emily Buhedo Ernst |
First Address | Easton, PA 18045-5670 |
Second Address | Easton, PA 18045-5670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2019 |
Last Update Date | 07/06/2019 |