Doctor Name: | MRS. LANDA ROSE PROPATO |
NPI Number: | 1033293931 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | 207Q00000X |
Business Practice Address: | 713 Bethlehem Pike Montgomeryville, PA - 189369602 |
Business Phone Number: | 2676953944 |
Business Fax Number: | 2676953945 |
Mailing Address: | Po Box 758952, BALTIMORE |
State: | MD |
Postal Code: | 212758952 |
Phone Number: | 8049685700 |
Fax Number: | |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 01/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 207Q00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |