Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 226200 | NY |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 226200 | NY |
NPI | 1194909622 |
---|---|
Provider Name | Dr. Traian Marian Anghel |
First Address | East Syracuse, NY 13057-9313 |
Second Address | Syracuse, NY 13203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2007 |
Last Update Date | 13/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03104487 | (05) | NY |