Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 25MB09493100 | NJ |
N | 208000000X | Pediatrician | C7 0003835 | DE |
N | 208000000X | Pediatrician | OT 012098 | PA |
N | 2080P0214X | Pediatric Pulmonologist | 50712 | CT |
NPI | 1255535803 |
---|---|
Provider Name | Dr. Michelle Badorf Litsky |
First Address | Red Bank, NJ 07701-2044 |
Second Address | Red Bank, NJ 07701-2044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 18/07/2014 |