Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD058907L | PA |
N | 208600000X | Surgeon | MD058907L | PA |
Y | 2086S0102X | Surgical Critical Care | MD058907L | PA |
NPI | 1043276843 |
---|---|
Provider Name | Dr. George O Maish III |
First Address | Lancaster, PA 17602-2250 |
Second Address | Lancaster, PA 17602-2250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 10/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H80876 | (02) |