Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | OS007932L | PA |
Y | 207R00000X | Internist | OS007932L | PA |
Y | 111NI0900X | Internist | OS007932L | PA |
NPI | 1003852013 |
---|---|
Provider Name | Noi Walkenstein |
First Address | Philadelphia, PA 19152-3038 |
Second Address | Philadelphia, PA 19152-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 09/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G10738 | (02) |