Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 35SI00160300 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35SI00160300 | NJ |
NPI | 1013018381 |
---|---|
Provider Name | Dr. Robert James Fiore |
First Address | Englewood, NJ 07631 |
Second Address | Englewood, NJ 07631-3522 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |