Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | D109382 | NJ |
NPI | 1164491411 |
---|---|
Provider Name | Dr. Nicholas A Vero |
First Address | Teaneck, NJ 07666-1705 |
Second Address | Teaneck, NJ 07666-1705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2006 |
Last Update Date | 08/07/2007 |