Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | OT017639 | PA |
NPI | 1023538717 |
---|---|
Provider Name | Anna Elisa Muzio |
First Address | Harrisburg, PA 17109-5317 |
Second Address | Harrisburg, PA 17109-5317 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2017 |
Last Update Date | 28/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023538717 | (05) | PA |