Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 140820 | NY |
NPI | 1073546743 |
---|---|
Provider Name | Dr. Anthony Frederick Jahn |
First Address | New York, NY 10019 |
Second Address | New York, NY 10019-8022 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 28/07/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B11231 | (02) | NJ |