Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | MA25925 | NJ |
Y | 207VX0201X | Gynecologic Oncologist | MA25925 | NJ |
NPI | 1063484996 |
---|---|
Provider Name | Dr. Jahir C Sama |
First Address | Livingston, NJ 07039-1501 |
Second Address | Belleville, NJ 07109-3532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 15/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C55754 | (02) | NJ |