Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 234462 | NY |
Y | 2080P0203X | Pediatric Critical Care Doctor | 25MAO7976100 | NJ |
NPI | 1154538759 |
---|---|
Provider Name | Dr. Carla Primiani Cangemi |
First Address | New Brunswick, NJ 08901-1942 |
Second Address | New Brunswick, NJ 08901-1942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 13/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0223042 | (05) | NJ |