Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD055968L | PA |
N | 208000000X | Pediatrician | MD055968L | PA |
NPI | 1174542617 |
---|---|
Provider Name | Jeffrey E Ming |
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 | 18/07/2006 |
Last Update Date | 16/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001835040 | (05) | PA |
7591802 | (05) | NJ |
G82012 | (02) | PA |