Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | MD467966 | PA |
NPI | 1891157384 |
---|---|
Provider Name | Maylene Xie |
First Address | Monroeville, PA 15146-2536 |
Second Address | Monroeville, PA 15146-2536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2016 |
Last Update Date | 27/10/2021 |