Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 25MA06433800 | NJ |
NPI | 1053352534 |
---|---|
Provider Name | Arthur Ng |
First Address | Hackensack, NJ 07601-1977 |
Second Address | Hackensack, NJ 07601-1977 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 25/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7056303 | (05) | NJ |
G39841 | (02) | NJ |