Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 266100 | NY |
NPI | 1174798730 |
---|---|
Provider Name | Dr. Brian Edward Wosnitzer |
First Address | Short Hills, NJ 07078-1517 |
Second Address | Short Hills, NJ 07078-1517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2008 |
Last Update Date | 30/10/2013 |