Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD039250E | PA |
NPI | 1104879204 |
---|---|
Provider Name | Joseph G. Bell |
First Address | Fountain Hill, PA 18015-1155 |
Second Address | Fountain Hill, PA 18015-1155 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 19/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001113537 | (05) | PA |
F46699 | (02) | PA |