Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 25MA05592200 | NJ |
N | 2080P0203X | Pediatric Critical Care Doctor | MD029538E | PA |
N | 2080P0214X | Pediatric Pulmonologist | 25MA05592200 | NJ |
Y | 2080P0214X | Pediatric Pulmonologist | MD029538E | PA |
NPI | 1275547747 |
---|---|
Provider Name | Howard B Panitch |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 17/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000965630 | (05) | PA |
2217309 | (05) | NJ |
B41533 | (02) | PA |