Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MT224553 | PA |
N | 2086S0105X | Surgery of the Hand | FT611 | KY |
NPI | 1932717758 |
---|---|
Provider Name | Ja Hea Gu |
First Address | Pittsburgh, PA 15213 |
Second Address | Erie, PA 16507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2020 |
Last Update Date | 24/09/2021 |