Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD447821 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD447821 | PA |
N | 207RI0011X | Interventional Cardiology | MD447821 | PA |
NPI | 1568512499 |
---|---|
Provider Name | Rhondalyn C Forde-Mclean |
First Address | Philadelphia, PA 19104-4306 |
Second Address | Philadelphia, PA 19104-4306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2007 |
Last Update Date | 13/09/2017 |