Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00640100 | NJ |
NPI | 1003908245 |
---|---|
Provider Name | Dr. David I Sarnoff |
First Address | Northfield, NJ 08225-1247 |
Second Address | Northfield, NJ 08225-1247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |