Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | MD444342 | PA |
N | 207V00000X | Obstetrician & Gynecologist | MD444342 | PA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD444342 | PA |
NPI | 1720181662 |
---|---|
Provider Name | Lorraine Dugoff |
First Address | Philadelphia, PA 19104 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 18/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01318666 | (05) | CO |