Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MA075732 | NJ |
N | 2080P0201X | Pediatric Allergist | MA075732 | NJ |
NPI | 1265401699 |
---|---|
Provider Name | Dr. Lisa Barisciano |
First Address | Florham Park, NJ 09732-1346 |
Second Address | Florham Park, NJ 09732-1346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 20/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009335992 | PHCS (01) | NJ |
2K6693 | HEALTHNET (01) | NJ |
7736574 | AETNA (01) | NJ |
BEECH STREET | 21247588446 (01) | NJ |
CIGNA | 4786617 (01) | NJ |
P3238057 | OXFORD (01) | NJ |
T12643 | (02) | NJ |