Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD025968E | PA |
N | 2080P0204X | Pediatric Emergency Doctor | MD025968E | PA |
Y | 2080P0208X | Pediatric Infectious Diseases | MD025968E | PA |
NPI | 1457373961 |
---|---|
Provider Name | Louis M Bell JR. |
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 | 24/07/2006 |
Last Update Date | 19/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001052048 | (05) | PA |
3869903 | (05) | NJ |
F08073 | (02) |