Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 425211 | PA |
NPI | 1023215365 |
---|---|
Provider Name | Gijsberta Van Londen |
First Address | Pittsburgh, PA 15217-4209 |
Second Address | Pittsburgh, PA 15232-1309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 25/03/2021 |