Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | MD448676 | PA |
NPI | 1013238039 |
---|---|
Provider Name | Varsha Goswami |
First Address | Philadelphia, PA 19107-5002 |
Second Address | Philadelphia, PA 19107-5002 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2010 |
Last Update Date | 15/05/2019 |