Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 01562 | MD |
NPI | 1063649754 |
---|---|
Provider Name | Trina P Monis |
First Address | Salisbury, MD 21801-4700 |
Second Address | Salisbury, MD 21801-4700 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2009 |
Last Update Date | 09/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
088335200 | (05) | MD |