Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MD472012 | PA |
NPI | 1003415589 |
---|---|
Provider Name | Jafar Aljazeeri |
First Address | Mechanicsburg, PA 17050-9413 |
Second Address | Mechanicsburg, PA 17050-9413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2020 |
Last Update Date | 27/08/2021 |