Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD467037 | PA |
Y | 2080P0210X | Pediatric Nephrologist | MT217658 | PA |
NPI | 1285098889 |
---|---|
Provider Name | Rushelle Byfield |
First Address | Philiadelphia, PA 19104 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2016 |
Last Update Date | 22/02/2021 |