Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223D0001X | Dental Public Health | G1-0001375 | DE |
Y | 1223G0001X | General Practice | G1-0001375 | DE |
Y | 213EG0000X | General Practice | G1-0001375 | DE |
NPI | 1740675305 |
---|---|
Provider Name | Ms. Michelle Friedberg Maher |
First Address | Newark, DE 19702-5701 |
Second Address | Newark, DE 19702-5701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 06/01/2021 |