Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 57426 | NJ |
N | 207YS0123X | Facial Plastic Surgeon | 57426 | NJ |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 57426 | NJ |
NPI | 1952356651 |
---|---|
Provider Name | Dr. Louis J Conte |
First Address | Roselle Park, NJ 07204-1918 |
Second Address | Roselle Park, NJ 07204-1918 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 28/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
518518 | AETNA (01) | NJ |
5647207005 | CIGNA (01) | NJ |
G04497 | (02) |