Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 25MB05612700 | NJ |
NPI | 1033297155 |
---|---|
Provider Name | Dr. Ralph G Del Negro |
First Address | Neptune, NJ 07753-4801 |
Second Address | Neptune, NJ 07753-4801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 02/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08-02224 | EVERCARE/ERICKSON (01) | |
3L4320 | EMPIRE (01) | |
4254343 | AETNA (01) | |
5251702 | (05) | NJ |
E82569 | (02) | NJ |
OK1931 | HEALTHNET (01) |