Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DN14518 | FL |
NPI | 1063639508 |
---|---|
Provider Name | Dr. Thomas Edward Albert JR. |
First Address | Naples, FL 34109-2023 |
Second Address | Naples, FL 34109-2023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 17/07/2007 |