Individual
DR. TASOS ASLANIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1841 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 465-8800
(215) 465-8814
Mailing address
1841 S BROAD ST, PHILADELPHIA, PA 19148-2115
(215) 465-8800
(215) 465-8814
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MB06162400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139675KD4
PTAN
PA
01
—
901189SBS
PTAN
NJ
Enumeration date
02/27/2006
Last updated
03/25/2015
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