Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MA047753 | NJ |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA04775300 | NJ |
NPI | 1437198553 |
---|---|
Provider Name | Dr. John A Cece |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Wayne, NJ 07470-5056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2006 |
Last Update Date | 23/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E94501 | (02) | NJ |