Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD438040 | PA |
N | 208600000X | Surgeon | MD438040 | PA |
Y | 2086S0102X | Surgical Critical Care | MD438040 | PA |
NPI | 1336473453 |
---|---|
Provider Name | Waqas Anjum |
First Address | Upper Darby, PA 19082 |
Second Address | Abington, PA 19001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2009 |
Last Update Date | 22/09/2009 |