Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 35076403 | OH |
N | 207RH0003X | Hematology & Oncology | 35076403 | OH |
Y | 207RX0202X | Medical Oncology | MD459801 | PA |
NPI | 1376551564 |
---|---|
Provider Name | Pierluigi Porcu |
First Address | Willow Grove, PA 19090-1225 |
Second Address | Philadelphia, PA 19107-4216 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 24/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2138270 | (05) | OH |
F99871 | (02) | OH |