Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2005-00878 | NC |
Y | 2080P0208X | Pediatric Infectious Diseases | MD034629E | PA |
NPI | 1396829263 |
---|---|
Provider Name | Joseph St.geme |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 09/07/2013 |