Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD467897 | PA |
N | 208600000X | Surgeon | MD467897 | PA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD467897 | PA |
NPI | 1033404652 |
---|---|
Provider Name | Pauline Hannah Go |
First Address | Hershey, PA 17033-0858 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2011 |
Last Update Date | 10/08/2020 |