Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DI1250105 | NJ |
NPI | 1073593729 |
---|---|
Provider Name | Dr. Howard J Sosna |
First Address | Sparta, NJ 07871-3207 |
Second Address | Newton, NJ 07860-9601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1011308 | (05) | NJ |