Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA08421800 | NJ |
Y | 208600000X | Surgeon | 25MA08421800 | NJ |
N | 2086X0206X | Surgical Oncologist | 2007008387 | MO |
NPI | 1043435548 |
---|---|
Provider Name | Dr. Dana M Holwitt |
First Address | Parsippany, NJ 07054-1049 |
Second Address | Parsippany, NJ 07054-1049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
207306309 | (05) | MO |
I71978 | (02) |