| Doctor Name: | ANITHA GEORGE |
| NPI Number: | 1760813133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SP013527 |
| Business Practice Address: | 705 Digital Dr Ste G Linthicum Heights, MD - 210902267 |
| Business Phone Number: | 8776631333 |
| Business Fax Number: | |
| Mailing Address: | 10904 Lockart Rd, PHILADELPHIA |
| State: | PA |
| Postal Code: | 191163136 |
| Phone Number: | 2154644802 |
| Fax Number: | |
| NPI Enumeration Date: | 12/10/2013 |
| NPI Last Update Date: | 12/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP013527 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |