Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RX0202X | Medical Oncology | 25MA064963 | NJ |
Y | 207RX0202X | Medical Oncology | 25MA06496300 | NJ |
NPI | 1073698767 |
---|---|
Provider Name | Dr. Elizabeth A Poplin |
First Address | New Brunswick, NJ 08901-2126 |
Second Address | New Brunswick, NJ 08903-1928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 10/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7151802 | (05) | NJ |
B49288 | (02) | NJ |