Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | MD034509E | PA |
NPI | 1053332304 |
---|---|
Provider Name | Judith Esman |
First Address | Pittsburgh, PA 15237-5818 |
Second Address | Pittsburgh, PA 15237-5818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2006 |
Last Update Date | 25/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F48215 | (02) |