Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TA1390 | MD |
NPI | 1003841172 |
---|---|
Provider Name | Dr. Robert Gerard Alianiello |
First Address | Kingsville, MD 21087-1314 |
Second Address | Kingsville, MD 21087-1314 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 11/06/2009 |