Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 38MC00736900 | NJ |
N | 111NN0400X | Neurology | F1-0000868 | DE |
N | 111NN0400X | Neurology | X005624 | NY |
N | 111NS0005X | Chiropractic Sports Physician | X005624 | NY |
NPI | 1205906393 |
---|---|
Provider Name | Dr. Michael John Orlando |
First Address | New Providence, NJ 07974-2129 |
Second Address | New Providence, NJ 07974-1005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 31/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T91454 | (02) | NY |