Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | DI009211 | NJ |
NPI | 1497731129 |
---|---|
Provider Name | Dr. Louis Allora |
First Address | Vineland, NJ 08360-4605 |
Second Address | Vineland, NJ 08360-4605 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/12/2005 |
Last Update Date | 08/07/2007 |