Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | NJ |
NPI | 1003889049 |
---|---|
Provider Name | Dr. David Shawn Pierson |
First Address | Princeton, NJ 08540-3512 |
Second Address | Princeton, NJ 08540-3512 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2006 |
Last Update Date | 08/07/2007 |