Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | MA042686 | NJ |
NPI | 1073581740 |
---|---|
Provider Name | Don S Respler |
First Address | Teaneck, NJ 07666-2034 |
Second Address | Hackensack, NJ 07601-1117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3455203 | (05) | NJ |
C56897 | (02) | NJ |