Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD048863L | PA |
N | 208600000X | Surgeon | MD048863L | PA |
Y | 2086S0129X | Vascular Surgeon | MD048863L | PA |
NPI | 1174590467 |
---|---|
Provider Name | Chester C Yavorski |
First Address | Plains, PA 18705-1143 |
Second Address | Plains, PA 18705-1143 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2006 |
Last Update Date | 03/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0179459201 | (05) | PA |
H12118 | (02) |