Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | OS013030 | PA |
Y | 208600000X | Surgeon | OS013030 | PA |
NPI | 1003811498 |
---|---|
Provider Name | Emily Solow |
First Address | Sewickley, PA 15143-1652 |
Second Address | Sewickley, PA 15143-1681 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G93575 | (02) | PA |