Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 25MB09032900 | NJ |
N | 207PP0204X | Pediatric Emergency Physician | 25MB09032900 | NJ |
NPI | 1285839845 |
---|---|
Provider Name | Dr. Ralynne Elizabeth Maitland |
First Address | Trenton, NJ 08638-4143 |
Second Address | Trenton, NJ 08638-4143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2007 |
Last Update Date | 06/05/2013 |