Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 05-001838L | PA |
NPI | 1275896383 |
---|---|
Provider Name | Louis Bell |
First Address | Elkins Park, PA 19027-1342 |
Second Address | Elkins Park, PA 19027-1342 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2012 |
Last Update Date | 22/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DEAAB2475273 | PRESCRIPTIONS (01) |