Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | MD071515L | PA |
NPI | 1053381293 |
---|---|
Provider Name | Dr. Sagi M Kuznits |
First Address | Royersford, PA 19468-1234 |
Second Address | Royersford, PA 19468-1234 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 17/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101168467 | (05) | PA |
232359401 | MAIN LINE HEALTHCARE (01) | PA |
H17541 | (02) |