Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA04130100 | NJ |
NPI | 1871551812 |
---|---|
Provider Name | Francis Michael Jampol |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Parsippany, NJ 07054-2707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 23/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0290700 | (05) | NJ |
C53809 | (02) | NJ |