Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD022895E | PA |
N | 111NI0900X | Internist | MD022895E | PA |
Y | 207RC0200X | Critical Care Medicine | MD022895E | PA |
N | 207RP1001X | Pulmonary Disease | MD022895E | PA |
NPI | 1023022548 |
---|---|
Provider Name | Harold I Palevsky |
First Address | Philadelphia, PA 19104-5161 |
Second Address | Philadelphia, PA 19104-5161 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 20/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009200940003 | (05) | PA |
B34910 | (02) |