Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD065835L | PA |
NPI | 1033159231 |
---|---|
Provider Name | Mihaela Biscoveanu |
First Address | Philadelphia, PA 19114-1025 |
Second Address | Philadelphia, PA 19114-1025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 03/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
518850 | BLUE SHIELD (01) | PA |
H12764 | (02) |