Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | MA56812 | NJ |
NPI | 1053485243 |
---|---|
Provider Name | Dr. Emanuele A Santomauro |
First Address | Emerson, NJ 07630-1381 |
Second Address | Hackensack, NJ 07601-3231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 08/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6501303 | (05) | NJ |
E96836 | (02) |