Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD451774 | PA |
N | 207RI0011X | Interventional Cardiology | MD451774 | PA |
NPI | 1104845395 |
---|---|
Provider Name | John M Pfeifer |
First Address | Lewisburg, PA 17837-9350 |
Second Address | Lewisburg, PA 17837-9362 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 30/03/2017 |