Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | MD002249 | NJ |
NPI | 1013910561 |
---|---|
Provider Name | Dr. David Pizzano |
First Address | Succasunna, NJ 07876-1345 |
Second Address | Succasunna, NJ 07876-1345 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2005 |
Last Update Date | 08/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U51401 | (02) | NJ |