Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 38MC00299200 | NJ |
NPI | 1346227220 |
---|---|
Provider Name | Dr. Robert A Washleski |
First Address | Flemington, NJ 08822-4668 |
Second Address | Flemington, NJ 08822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2005 |
Last Update Date | 15/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5385601 | (05) | NJ |
T77853 | (02) | NJ |