Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MA053144 | NJ |
N | 208600000X | Surgeon | MA053144 | NJ |
N | 2086S0129X | Vascular Surgeon | MA053144 | NJ |
NPI | 1063592285 |
---|---|
Provider Name | Dr. Joseph Francis Popovich |
First Address | Jersey City, NJ 07306-1113 |
Second Address | Jersey City, NJ 07306-1113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5657202 | (05) | NJ |
F60423 | (02) | NJ |