Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD476659 | PA |
N | 207YP0228X | Pediatric Otolaryngology | MT222160 | PA |
NPI | 1952759227 |
---|---|
Provider Name | Richard Law |
First Address | Philadelphia, PA 19103-1707 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2016 |
Last Update Date | 10/02/2022 |