Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 38MC00187600 | NJ |
NPI | 1003860230 |
---|---|
Provider Name | Dr. Pasquale J Carcaise |
First Address | Audubon, NJ 08106-1352 |
Second Address | Audubon, NJ 08106-1352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T73106 | (02) | NJ |