Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | MA41463 | NJ |
NPI | 1144314824 |
---|---|
Provider Name | Dr. Lina Cambria |
First Address | Bayonne, NJ 07002-2975 |
Second Address | Bayonne, NJ 07002-2975 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 07/07/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5309409 | (05) | NJ |