Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MT201618 | PA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MT201618 | PA |
NPI | 1760742324 |
---|---|
Provider Name | Jason B Anari |
First Address | Philadelphia, PA 19104-4206 |
Second Address | Philadelphia, PA 19104-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2012 |
Last Update Date | 07/06/2017 |