Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 25MA02043300 | NJ |
NPI | 1083898035 |
---|---|
Provider Name | Dr. Joseph A. Raimondi |
First Address | Toms River, NJ 08755-2126 |
Second Address | Toms River, NJ 08755-2126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 04/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7777777 | (05) | NJ |
93033 | (05) | NJ |