Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 25MA08430300 | NJ |
NPI | 1033238571 |
---|---|
Provider Name | Dr. Michelle Dana Neier |
First Address | New Brunswick, NJ 08903 |
Second Address | New Brunswick, NJ 08901-1914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0178641 | (05) | NJ |