Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA01737800 | NJ |
NPI | 1043737158 |
---|---|
Provider Name | Dr. Michael Biagioli |
First Address | Marlboro, NJ 07746-1936 |
Second Address | Princeton, NJ 08540-1617 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2017 |
Last Update Date | 29/08/2017 |