Fisun, Anthony Yaroslav

Fisun, Anthony Yaroslav is an individual health care provider with primary practice located at 2008 President St , Philadelphia PA 19115-2607. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Fisun, Anthony Yaroslav can be contacted via phone (215) 200-0420.

Contact Information

Primary practice address
2008 President St Philadelphia PA 19115-2607
Phone: (215) 200-0420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X SP014633 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X SP014633 Pennsylvania

Profile Details

NPI number 1306223813
LBN Legal business name Fisun, Anthony Yaroslav
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated Dec 9th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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