Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | C10008019 | DE |
N | 207YP0228X | Pediatric Otolaryngology | MD424676 | PA |
NPI | 1588795835 |
---|---|
Provider Name | Patrick C Barth |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 20/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0134473 | (05) | NJ |
101939880 | (05) | PA |
4127269 | (05) | MD |