Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25MA08177200 | NJ |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD047881L | PA |
NPI | 1174568679 |
---|---|
Provider Name | Stuart L Trager |
First Address | Philadelphia, PA 19106-4017 |
Second Address | Philadelphia, PA 19106-4017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F32965 | (02) | PA |