Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | DR.0055710 | CO |
Y | 2086S0122X | Plastic and Reconstructive Surgery | DR.0055710 | CO |
NPI | 1386051092 |
---|---|
Provider Name | Dr. Ashley Ignatiuk |
First Address | Newark, NJ 07107-3000 |
Second Address | Newark, NJ 07103-2425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2014 |
Last Update Date | 09/05/2018 |