Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD013809E | PA |
NPI | 1003153255 |
---|---|
Provider Name | Dr. Thomas Javian |
First Address | Langhorne, PA 19047-2832 |
Second Address | Langhorne, PA 19047-2832 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2013 |
Last Update Date | 08/01/2013 |