Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | MP193874 | PA |
NPI | 1720244577 |
---|---|
Provider Name | Dr. Alexander David Anzarut |
First Address | Wexford, PA 15090 |
Second Address | Wexford, PA 15090 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2008 |
Last Update Date | 31/07/2008 |