Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101053860 | VA |
Y | 2080P0205X | Pediatric Endocrinologist | 0101053860 | VA |
NPI | 1144267303 |
---|---|
Provider Name | Marta S Satin-Smith |
First Address | Baltimore, MD 21279-0137 |
Second Address | Norfolk, VA 23507-1910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2006 |
Last Update Date | 26/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017062300001 | (05) | PA |
006722423 | (05) | VA |
796800100 | (05) | MD |
890619K | (05) | NC |
G25669 | (02) |