Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 35SI00300300 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35SI00300300 | NJ |
NPI | 1013023688 |
---|---|
Provider Name | Bruno Oriti |
First Address | Toms River, NJ 08753-7440 |
Second Address | Toms River, NJ 08753-7440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 08/07/2007 |