Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 25MA08324900 | NJ |
NPI | 1073838173 |
---|---|
Provider Name | Cindy Sturt |
First Address | Livingston, NJ 07039-8256 |
Second Address | Livingston, NJ 07039-8256 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2010 |
Last Update Date | 31/03/2010 |