Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA05790800 | NJ |
N | 208000000X | Pediatrician | MD054753L | PA |
N | 2084N0402X | Child Neurologist | 25MA05790800 | NJ |
Y | 2084N0402X | Child Neurologist | MD054753L | PA |
NPI | 1376562298 |
---|---|
Provider Name | Steven L Kugler |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 18/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101135377 | (05) | PA |
5183707 | (05) | NJ |
F37866 | (02) |