Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD451659 | PA |
NPI | 1053604132 |
---|---|
Provider Name | Nianda Reid |
First Address | Doylestown, PA 18901-2603 |
Second Address | Doylestown, PA 18901-2603 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2011 |
Last Update Date | 07/08/2014 |