Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT197557 | PA |
N | 111NI0900X | Internist | MT197557 | PA |
N | 207W00000X | Ophthalmologist | ME120111 | FL |
NPI | 1013237676 |
---|---|
Provider Name | John B Fileta |
First Address | Lancaster, PA 17601-4340 |
Second Address | Lancaster, PA 17601-4340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2010 |
Last Update Date | 18/02/2020 |