NPI 1851783575 · live from the CMS NPI Registry
Beverly Aiyanyor, MD
Pediatrics in Philadelphia, PA. National Provider Identifier 1851783575, active.
NPI record
| NPI | 1851783575 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 3401 Civic Center Blvd, Philadelphia, PA 19104 |
| Practice phone | 215-590-3948 |
| Mailing address | 300 Longwood Ave, Boston, MA 02115 |
| Enumerated | March 4, 2015 |
| Last updated | June 23, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | MT224906 (PA) |
| Pediatrics primary | 208000000X | 288928 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.