Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 036109733 | IL |
NPI | 1013068097 |
---|---|
Provider Name | Maria Baldwin |
First Address | Pittsburgh, PA 15213-3215 |
Second Address | Pittsburgh, PA 15213-3215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2007 |
Last Update Date | 09/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036109733 | (05) | IL |