Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK ELIAS KAZANJIAN, D.O.
ActiveDR. JACK ELIAS KAZANJIAN, D.O. is a Sports Medicine (Orthopaedic) healthcare provider located in HAVERTOWN, Pennsylvania. NPI 1407880032 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · HAVERTOWN, PA
Registration Details
- NPI Number
- 1407880032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.142195680838 yrs)
- Last Updated
- Sep 5, 2007
- License
-
OS010372L (PA)
Practice Information
- Address
-
510 DARBY RDHAVERTOWN, PA, 190834630Browse PA providers · Browse ZIP 19083
- Phone
- 6104496499
- Fax
- 6104499814
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.