Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | OS018667 | PA |
NPI | 1033479704 |
---|---|
Provider Name | William Blake Huntington |
First Address | Sellersville, PA 18960-0350 |
Second Address | Media, PA 19063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2012 |
Last Update Date | 01/06/2018 |