Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0200X | Infectious Disease | MD467538 | PA |
N | 2080P0208X | Pediatric Infectious Diseases | MD467538 | PA |
Y | 2080P0208X | Pediatric Infectious Diseases | MT217826 | PA |
NPI | 1245624808 |
---|---|
Provider Name | Ross Nevin England |
First Address | Philadelphia, PA 19104-4319 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2015 |
Last Update Date | 25/06/2020 |