Dr. Jack Elias Kazanjian
Adult Reconstructive Orthopaedic Surgeon
510 Darby Rd
Havertown
, Pennsylvania 19083-4630
Dr. Jack Elias Kazanjian
Adult Reconstructive Orthopaedic Surgeon
510 Darby Rd
Havertown
, Pennsylvania 19083-4630
(610) 449-9814
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jack Elias Kazanjian
- 510 Darby Rd
- Havertown, PA
- Zip : 19083-4630
- Fax : (610) 449-9814
- Phone : (610) 449-6499
Second Address
- Dr. Jack Elias Kazanjian
- 510 Darby Rd
- Havertown, PA
- Zip : 19083-4630
- Fax : (610) 449-9814
- Phone : (610) 449-6499
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OS010372L | PA |
National Provider Identifier
| NPI | 1407880032 |
|---|---|
| Provider Name | Dr. Jack Elias Kazanjian |
| First Address | Havertown, PA 19083-4630 |
| Second Address | Havertown, PA 19083-4630 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 05/09/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1018681980001 | (05) | PA |
| H95648 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.