Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | MD006220E | PA |
NPI | 1144590266 |
---|---|
Provider Name | William E Barry |
First Address | Philadelphia, PA 19111-1200 |
Second Address | Philadelphia, PA 19111-1200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2012 |
Last Update Date | 05/01/2012 |