Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 25MA08979700 | NJ |
NPI | 1528265279 |
---|---|
Provider Name | Dr. Joelle Pierre |
First Address | New Brunswick, NJ 08903-0019 |
Second Address | New Brunswick, NJ 08903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2007 |
Last Update Date | 16/03/2017 |