Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00207700 | NJ |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 38MC00207700 | NJ |
NPI | 1225129018 |
---|---|
Provider Name | Dr. Stanley B. Piltin |
First Address | Somerdale, NJ 08083-1247 |
Second Address | Somerdale, NJ 08083-1247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 13/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0075099000 | AMERIHEALTH PIN (01) | NJ |
0935725 | CIGNA PIN (01) | NJ |
548211 | AETNA PIN (01) | NJ |
6489128 | OXFORD PIN (01) | NJ |
780222404056 | HORIZON BCBSNJ PIN (01) | NJ |
T44635 | (02) | NJ |