Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | MB051472 | NJ |
NPI | 1780754424 |
---|---|
Provider Name | Dr. David Goldfarb |
First Address | Princeton, NJ 08540 |
Second Address | Princeton, NJ 08540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F07027 | (02) |