Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RN0300X | Nephrologist | 18618 | WV |
Y | 207RN0300X | Nephrologist | MD430288 | PA |
NPI | 1023062353 |
---|---|
Provider Name | William Difilippo |
First Address | Uniontown, PA 15401-3128 |
Second Address | Uniontown, PA 15401-3128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 15/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02107899 | (05) | NY |
16863990002 | (05) | PA |
F43638 | (02) | PA |