Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 22DI02115300 | NJ |
Y | 1223P0106X | Oral and Maxillofacial Pathology | 22DI02115300 | NJ |
NPI | 1760441737 |
---|---|
Provider Name | Dr. Joseph Rinaggio |
First Address | Newark, NJ 07103-2495 |
Second Address | Newark, NJ 07103-2495 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 03/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U84997 | (02) | NJ |