Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 018468 | ME |
Y | 208800000X | Urologist | 253715 | MA |
N | 208800000X | Urologist | RT1178 | NH |
NPI | 1033227426 |
---|---|
Provider Name | Peter Lang Steinberg |
First Address | Boston, MA 02215-5400 |
Second Address | Boston, MA 02215-5400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2006 |
Last Update Date | 19/11/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30209571 | (05) | NH |
435745199 | (05) | ME |