Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 25MB02577300 | NJ |
N | 111NI0900X | Internist | 25MB02577300 | NJ |
Y | 207RP1001X | Pulmonary Disease | 25MB02577300 | NJ |
NPI | 1053381244 |
---|---|
Provider Name | James C. Giudice |
First Address | Stratford, NJ 08084-1354 |
Second Address | Stratford, NJ 08084-1354 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 06/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2260506 | (05) | NJ |
990014919 | RAILROAD MEDICARE (01) | NJ |
E79618 | (02) | NJ |