Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD445152 | PA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD445152 | PA |
NPI | 1508064213 |
---|---|
Provider Name | Uduak Umoh Andy |
First Address | Philadelphia, PA 19107-6130 |
Second Address | Philadelphia, PA 19107-6130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 16/10/2019 |