Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA05045300 | NJ |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 25MA05045300 | NJ |
NPI | 1205945623 |
---|---|
Provider Name | Dr. Joaquim Jose Correia |
First Address | Cranford, NJ 07016-1720 |
Second Address | Newark, NJ 07105-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 26/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2645610 | (02) | |
2K3387 | (02) | |
413905 | (05) | NJ |
P00091112 | (02) | |
P2543415 | (02) |