Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Q00000X | Family Medicine | | 25MA 09061500 | NEW JERSEY | No |
| 2 | 207Q00000X | Family Medicine | | MD433306 | PENNSYLVANIA | Yes |