Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD010945E | PA |
NPI | 1023006046 |
---|---|
Provider Name | Robert J Filosa |
First Address | Lansdale, PA 19446-1140 |
Second Address | Lansdale, PA 19446-1140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 04/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006776350002 | (05) | PA |
B33193 | (02) |