Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | MD017388E | PA |
NPI | 1316048093 |
---|---|
Provider Name | Robert Alan Woolhandler |
First Address | Pittsburgh, PA 15217 |
Second Address | Pittsburgh, PA 15217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B36475 | (02) |