Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | NJ9373 | NJ |
NPI | 1174681993 |
---|---|
Provider Name | Dr. Ronald F Saglimbene |
First Address | Wyckoff, NJ 07481 |
Second Address | Wyckoff, NJ 07481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2006 |
Last Update Date | 21/11/2012 |