Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MB07707000 | NJ |
NPI | 1245227826 |
---|---|
Provider Name | Dr. Howard S Landsman |
First Address | Brick, NJ 08724-3009 |
Second Address | Brick, NJ 08724-3009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2005 |
Last Update Date | 10/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I21108 | (02) | NJ |