Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD051323L | PA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD0513231 | PA |
NPI | 1841234481 |
---|---|
Provider Name | Dr. Paul Aron Horenstein |
First Address | Broomall, PA 19008-3511 |
Second Address | Broomall, PA 19008-3511 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 01/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G42236 | (02) | PA |