Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC011467 | PA |
N | 111NN0400X | Neurology | F1-0001017 | DE |
NPI | 1114558269 |
---|---|
Provider Name | Paul Link |
First Address | Kennett Square, PA 19348-2818 |
Second Address | Harleysville, PA 19438-2400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2020 |
Last Update Date | 08/04/2021 |