Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MA077593 | NJ |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MA077593 | NJ |
NPI | 1043338254 |
---|---|
Provider Name | Dr. Meera V Kale |
First Address | Sunrise, FL 33345-2317 |
Second Address | Jersey City, NJ 07302-4321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 15/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231720 | (05) | NJ |