Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 25MA09415100 | NJ |
N | 207PE0004X | Emergency Medical Services | 25MA09415100 | NJ |
NPI | 1184977936 |
---|---|
Provider Name | Dr. Michael Steven Westrol |
First Address | Atlantic City, NJ 08401-6713 |
Second Address | Atlantic City, NJ 08401-6713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2012 |
Last Update Date | 08/09/2015 |