Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 35099749 | OH |
N | 208200000X | Surgeon | 35099749 | OH |
N | 208600000X | Surgeon | 35099749 | OH |
NPI | 1760666507 |
---|---|
Provider Name | Flavio Paterno |
First Address | Newark, NJ 07107-3000 |
Second Address | Newark, NJ 07103-2425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 05/12/2018 |