Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS020353 | PA |
N | 111NI0900X | Internist | OS020353 | PA |
Y | 207RG0300X | Geriatric Medicine | OS020353 | PA |
NPI | 1073969499 |
---|---|
Provider Name | Aasia Ferdous |
First Address | Willow Grove, PA 19090-1225 |
Second Address | Warminster, PA 18974-5207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2016 |
Last Update Date | 03/02/2021 |