Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 052129 | NY |
N | 213EG0000X | General Practice | 052129 | NY |
Y | 1223P0700X | Prosthodontist | 052129 | NY |
NPI | 1124154158 |
---|---|
Provider Name | Dr. Julio Ricardo Espinoza |
First Address | Tinton Falls, NJ 07712-7510 |
Second Address | Denville, NJ 07834-2901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 03/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02826084 | (05) | NY |