Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1588829758 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 07/27/2008 | ||||
| Last updated | 07/27/2008 - About 18 years ago | ||||
| Identifiers |
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ALAN E MORTELL
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