Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 25MA07882500 | NJ |
NPI | 1063451698 |
---|---|
Provider Name | James Pritsiolas |
First Address | Berkeley Heights, NJ 07922-2104 |
Second Address | Livingston, NJ 07039-4532 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 25/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I33838 | (02) |