Doctor Name: | DR. ALLAN DAVID MINEROFF |
NPI Number: | 1134159858 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD062839-L |
Business Practice Address: | 1709 N Broad St Lansdale, PA - 194461115 |
Business Phone Number: | 2153625555 |
Business Fax Number: | 2153626353 |
Mailing Address: | 57 Bittersweet Dr, DOYLESTOWN |
State: | PA |
Postal Code: | 189012772 |
Phone Number: | 2154890751 |
Fax Number: | 2154890750 |
NPI Enumeration Date: | 07/05/2006 |
NPI Last Update Date: | 06/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD062839-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |