Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | MD062792L | PA |
N | 208000000X | Pediatrician | MD062792L | PA |
N | 2080P0203X | Pediatric Critical Care Doctor | MD062792L | PA |
NPI | 1194839613 |
---|---|
Provider Name | Mark A Helfaer |
First Address | Philadelphia, PA 19103 |
Second Address | Philadelphia, PA 19104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 10/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016538520 | (05) | PA |
B67001 | (02) | PA |