Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MT199166 | PA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA10413700 | NJ |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 64842 | CT |
NPI | 1710273982 |
---|---|
Provider Name | Anna Katsman |
First Address | Cedar Knolls, NJ 07927-2109 |
Second Address | Cedar Knolls, NJ 07927-2109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2011 |
Last Update Date | 10/12/2020 |