Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 25MA06373000 | NJ |
NPI | 1114992773 |
---|---|
Provider Name | Dr. Gregory Salvatore Rihacek |
First Address | Somerset, NJ 08873-5042 |
Second Address | Somerset, NJ 08873-5042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 25/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RI758540 | (02) | NJ |