Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 044059 | GA |
Y | 207N00000X | Dermatologist | 47442 | CT |
N | 207ND0101X | MOHS-Micrographic Surgeon | 044059 | GA |
N | 207NS0135X | Procedural Dermatology | 044059 | GA |
NPI | 1043212350 |
---|---|
Provider Name | Dr. Frank John Pinto JR. |
First Address | Norwalk, CT 06851-1080 |
Second Address | Norwalk, CT 06851-1080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2005 |
Last Update Date | 15/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00766994A | (05) | GA |
00766994B | (05) | GA |
00766994G | (05) | GA |
F95625 | (02) |