Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 25MA02934300 | NJ |
NPI | 1033157540 |
---|---|
Provider Name | Dr. Alfredo Tutiven |
First Address | Newark, NJ 07105-1215 |
Second Address | Newark, NJ 07105-1215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 08/07/2007 |