Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 25MB08138000 | NJ |
NPI | 1477673341 |
---|---|
Provider Name | Dr. Margarita Smotkin-Tangorra |
First Address | Neptune, NJ 07753-4401 |
Second Address | Neptune, NJ 07753-4401 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 03/02/2017 |