Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD045659L | PA |
NPI | 1053387597 |
---|---|
Provider Name | Dr. Anthony Najib Wakim |
First Address | Pittsburgh, PA 15237-5928 |
Second Address | Pittsburgh, PA 15237-5928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 30/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A15896 | (02) | PA |