Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA01874200 | NJ |
NPI | 1093872640 |
---|---|
Provider Name | Dr. Frank S Dimauro |
First Address | Galloway, NJ 08205-9508 |
Second Address | Galloway, NJ 08205-9508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 03/07/2008 |