Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MA51691 | NJ |
NPI | 1518001072 |
---|---|
Provider Name | Dr. Michael G Absatz |
First Address | Eatontown, NJ 07724-2448 |
Second Address | Eatontown, NJ 07724-2448 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2007 |
Last Update Date | 08/07/2007 |