Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | 0104001861 | VA |
NPI | 1538286729 |
---|---|
Provider Name | Dr. John P Pinto |
First Address | Westfield, NJ 07090-2520 |
Second Address | Westfield, NJ 07090-2520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 17/04/2013 |