Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 25MA03050300 | NJ |
Y | 207W00000X | Ophthalmologist | MD016824E | PA |
NPI | 1043203532 |
---|---|
Provider Name | Joseph I Markoff |
First Address | Philadelphia, PA 19148-1536 |
Second Address | Philadelphia, PA 19148-1536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0008666880003 | (05) | PA |
B37512 | (02) |