Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MAO55724 | NJ |
NPI | 1568494128 |
---|---|
Provider Name | Dr. Margaret Ann Co |
First Address | Ridgewood, NJ 07450-3247 |
Second Address | Ridgewood, NJ 07450-3247 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 19/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E69534 | (02) |