Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | MA61270 | NJ |
NPI | 1841209285 |
---|---|
Provider Name | Dr. Grace Becz |
First Address | Rutherford, NJ 07070-1563 |
Second Address | Rutherford, NJ 07070-1563 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 08/07/2007 |