Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 25MA08917900 | NJ |
NPI | 1285947689 |
---|---|
Provider Name | Dr. Peter Hart Denoble |
First Address | Wayne, NJ 07474-4239 |
Second Address | Wayne, NJ 07470-6250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2010 |
Last Update Date | 15/05/2020 |