Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD448134 | PA |
Y | 111NI0900X | Internist | MD448134 | PA |
NPI | 1003049503 |
---|---|
Provider Name | Maria Esther Escorcia De Leon |
First Address | Philadelphia, PA 19129-1302 |
Second Address | Philadelphia, PA 19140-5103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2009 |
Last Update Date | 04/04/2018 |