Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 25MA09451600 | NJ |
NPI | 1124294970 |
---|---|
Provider Name | David Paik |
First Address | Jersey City, NJ 07310-3118 |
Second Address | Parsippany, NJ 07054-2715 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2008 |
Last Update Date | 26/03/2015 |