Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD044751L | PA |
NPI | 1003880469 |
---|---|
Provider Name | Michael Voloshin |
First Address | Johnstown, PA 15901-2541 |
Second Address | Johnstown, PA 15901-2541 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 15/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F69153 | (02) | PA |