Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD458097 | PA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD458097 | PA |
NPI | 1891016648 |
---|---|
Provider Name | Sarah Nossov |
First Address | Philadelphia, PA 19140-4160 |
Second Address | Philadelphia, PA 19140-4160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2010 |
Last Update Date | 04/08/2016 |