Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 22D100793200 | NJ |
NPI | 1114029501 |
---|---|
Provider Name | Dr. Carmine Joseph Lomonaco |
First Address | West Caldwell, NJ 07006 |
Second Address | West Caldwell, NJ 07006-7508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 08/07/2007 |