Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | C10007745 | DE |
N | 207U00000X | Nuclear Medicine Specialist | MD427439 | PA |
NPI | 1225062334 |
---|---|
Provider Name | Gunsel Acikgoz |
First Address | Philadelphia, PA 19104-4551 |
Second Address | Philadelphia, PA 19104-4551 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 16/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0134473 | (05) | NJ |
101939880 | (05) | PA |
4092520 | (05) | MD |
BA9466550 | DEA (01) | |
I43630 | (02) | DE |