Individual
IRTAZA ASAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544
(814) 452-5000
Mailing address
232 W 25TH ST, ERIE, PA 16544-0001
(814) 452-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OT018263
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT018263
PA
Other
Enumeration date
05/23/2018
Last updated
02/11/2021
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