Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | MD022722E | PA |
N | 207RH0003X | Hematology & Oncology | C10009172 | DE |
N | 207RH0003X | Hematology & Oncology | MD022722E | PA |
NPI | 1356332894 |
---|---|
Provider Name | Michael M Soojian |
First Address | West Chester, PA 19380-4412 |
Second Address | West Chester, PA 19380-4412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2005 |
Last Update Date | 25/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001146538 0002 | (05) | PA |
B39942 | (02) |