Provider Demographics
NPI:1720244577
Name:ANZARUT, ALEXANDER DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:DAVID
Last Name:ANZARUT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 STONEWOOD DRIVE
Mailing Address - Street 2:ICARE OF DEE HAND AND UPPER EXTREMITY CENTER
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090
Mailing Address - Country:US
Mailing Address - Phone:724-933-3850
Mailing Address - Fax:724-933-3861
Practice Address - Street 1:6001 STONEWOOD DRIVE
Practice Address - Street 2:ICARE OF DEE HAND AND UPPER EXTREMITY CENTER
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:724-933-3850
Practice Address - Fax:724-933-3861
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMP1938742086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand