Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA06918900 | NJ |
N | 208000000X | Pediatrician | MD056100L | PA |
N | 2080P0201X | Pediatric Allergist | 25MA06918900 | NJ |
Y | 2080P0201X | Pediatric Allergist | MD056100L | PA |
NPI | 1659391167 |
---|---|
Provider Name | Terri F Brown-Whitehorn |
First Address | Philadelphia, PA 19107-3323 |
Second Address | Philadelphia, PA 19104-3365 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 12/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001607920 | (05) | PA |
8006806 | (05) | NJ |
G51691 | (02) |