Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 045980 | CT |
NPI | 1114349149 |
---|---|
Provider Name | Dr. Joshua Bilenker |
First Address | Stamford, CT 06901-2603 |
Second Address | Stamford, CT 06901-2603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2014 |
Last Update Date | 10/01/2014 |