Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 25MB07984300 | NJ |
NPI | 1003853318 |
---|---|
Provider Name | Dr. Edith Szabo |
First Address | Berkeley Heights, NJ 07922-2104 |
Second Address | Paramus, NJ 07652-5101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 21/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01765746 | (05) | NY |