Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 25MA01971100 | NJ |
NPI | 1003013046 |
---|---|
Provider Name | Dr. Joseph N. Micale |
First Address | Ventnor City, NJ 08406-2915 |
Second Address | Ventnor City, NJ 08406-2915 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 04/11/2016 |