Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 25MA07251900 | NJ |
N | 207U00000X | Nuclear Medicine Specialist | MD417713 | PA |
NPI | 1124052253 |
---|---|
Provider Name | Bruce Nathaniel Saffran |
First Address | Columbus, NJ 08022-1607 |
Second Address | Columbus, NJ 08022-1607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 11/09/2014 |