Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | 22D101918800 | NJ |
NPI | 1073645792 |
---|---|
Provider Name | Dr. Frank Richard Besson |
First Address | Scotch Plains, NJ 07076 |
Second Address | Scotch Plains, NJ 07076 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 08/07/2007 |