Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | MC5907 | NJ |
NPI | 1821151994 |
---|---|
Provider Name | Dr. Julie Page |
First Address | Atlantic Highlands, NJ 07716-1402 |
Second Address | Atlantic Highlands, NJ 07716-1286 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 08/07/2007 |