Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 044967L | PA |
NPI | 1003813049 |
---|---|
Provider Name | Phyllis Garberman Schapire |
First Address | Upland, PA 19013-3955 |
Second Address | Upland, PA 19013-3955 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F77235 | (02) |