Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD042192E | PA |
N | 207VE0102X | Reproductive Endocrinologist | 267417 | NY |
Y | 207VE0102X | Reproductive Endocrinologist | MD042192E | PA |
NPI | 1124053087 |
---|---|
Provider Name | Samantha M Pfeifer |
First Address | Philadelphia, PA 19104-5502 |
Second Address | New York, NY 10013-2904 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 31/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001410513 | (05) | PA |
F52939 | (02) | PA |