Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208G00000X | Cardiothoracic Vascular Surgeon | 226941 | NJ |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 226941 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 85359 | NJ |
NPI | 1083779888 |
---|---|
Provider Name | Dr. Steve Xydas |
First Address | Morristown, NJ 07960 |
Second Address | Morristown, NJ 07960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 23/04/2009 |