Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD442121 | PA |
Y | 208600000X | Surgeon | MD442121 | PA |
N | 2086S0120X | Pediatric Surgery | 25MA09943300 | NJ |
NPI | 1063665859 |
---|---|
Provider Name | Anthony John Georges |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-1766 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2008 |
Last Update Date | 19/10/2020 |