Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS018458 | PA |
N | 111NI0900X | Internist | OS018458 | PA |
N | 207R00000X | Internist | OT015651 | PA |
N | 111NI0900X | Internist | OT015651 | PA |
NPI | 1003236290 |
---|---|
Provider Name | Kathryn Mae Pisarcik |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Bethlehem, PA 18017-7300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2014 |
Last Update Date | 09/02/2021 |