Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 25MA03254500 | NJ |
NPI | 1548321888 |
---|---|
Provider Name | Dr. Oscar N Pizarro |
First Address | Jersey City, NJ 07304-1069 |
Second Address | Secaucus, NJ 07094-3242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 14/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0952206 | (05) | NJ |
C54929 | (02) | NJ |