Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD062866L | PA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD062866L | PA |
NPI | 1255385845 |
---|---|
Provider Name | Tatjana N Sljapic |
First Address | Lancaster, PA 17602-2287 |
Second Address | Lancaster, PA 17602-2163 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 06/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001892270 | (05) | PA |
G59638 | (02) | PA |