Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 25MA09897500 | NJ |
NPI | 1235454984 |
---|---|
Provider Name | Dr. Michael Mark Vosbikian |
First Address | Newark, NJ 07103-2425 |
Second Address | Newark, NJ 07103-2785 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2010 |
Last Update Date | 31/08/2016 |