Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD016274E | PA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD016274E | PA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD016274E | PA |
NPI | 1033123807 |
---|---|
Provider Name | George A Primiano |
First Address | East Stroudsburg, PA 18301-8263 |
Second Address | East Stroudsburg, PA 18301-8262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 20/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B40153 | (02) |