Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | MD045519 | DC |
Y | 208800000X | Urologist | MD474325 | PA |
NPI | 1063904282 |
---|---|
Provider Name | Siobhan I Telfer |
First Address | Pittsburgh, PA 15213 |
Second Address | Pittsburgh, PA 15213 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2018 |
Last Update Date | 08/09/2021 |