Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD460544 | PA |
NPI | 1033451679 |
---|---|
Provider Name | Rachel Anna Day |
First Address | Chambersburg, PA 17201 |
Second Address | Chambersburg, PA 17201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 26/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD460544 | PA MEDICAL LICENSE (01) | PA |