Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MB06162400 | NJ |
NPI | 1568438703 |
---|---|
Provider Name | Dr. Tasos Aslanidis |
First Address | Philadelphia, PA 19148-2115 |
Second Address | Philadelphia, PA 19148-2115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 25/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
139675KD4 | PTAN (01) | PA |
901189SBS | PTAN (01) | NJ |
G47046 | (02) | PA |