Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | MB52140 | NJ |
NPI | 1376616920 |
---|---|
Provider Name | Dr. Daniel P Conte III |
First Address | Garfield, NJ 07026-1603 |
Second Address | Garfield, NJ 07026-1603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F83513 | (02) | NJ |