Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | MA052751 | PA |
NPI | 1184825598 |
---|---|
Provider Name | Jodi M Telli |
First Address | Pittsburgh, PA 15232-1304 |
Second Address | Pittsburgh, PA 15232-1304 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 02/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1184825598 | (05) | PA |