Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | MB69953 | NJ |
N | 2081P2900X | Pain Medicine | MB69953 | NJ |
NPI | 1144269655 |
---|---|
Provider Name | Dr. John Anthony Auriemma |
First Address | Little Silver, NJ 07739-1630 |
Second Address | Hazlet, NJ 07730-1663 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H12971 | (02) | NJ |