Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3445 | NJ |
NPI | 1245293257 |
---|---|
Provider Name | Dr. Ronald Jeffrey Minsky |
First Address | Eatontown, NJ 07724-2169 |
Second Address | Eatontown, NJ 07724-2169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2006 |
Last Update Date | 19/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1973005 | UNITEDHEALTHCARE (01) | NJ |
222377804 | QUALCARE (01) | NJ |
2K3804 | HEALTHNET PROVIDER NUMBER (01) | NJ |
820194 | AETNA PROVIDER NUMBER (01) | NJ |
P2888341 | OXFORD PROVIDER NUMBER (01) | NJ |
U29757 | (02) | NJ |