Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 25MA09897900 | NJ |
NPI | 1083957674 |
---|---|
Provider Name | Arthur Carminucci |
First Address | Berkeley Heights, NJ 07922-2104 |
Second Address | Florham Park, NJ 07932-1049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2013 |
Last Update Date | 31/07/2020 |