Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA53264 | NJ |
NPI | 1003835802 |
---|---|
Provider Name | Dr. Ronald Rescigno |
First Address | Newark, NJ 07103 |
Second Address | Newark, NJ 07103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |