Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25MA08256600 | NJ |
N | 207XS0117X | Orthopaedic Spine Surgeon | 25MA08256600 | NJ |
NPI | 1124141858 |
---|---|
Provider Name | Gino Chiappetta |
First Address | Somerset, NJ 08873-1369 |
Second Address | Somerset, NJ 08873-1369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 15/06/2020 |