Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 5867 | NV |
NPI | 1053405282 |
---|---|
Provider Name | Jeffrey Neal Gingold |
First Address | Reno, NV 89523-4844 |
Second Address | Reno, NV 89523-4844 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 18/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002016182 | (05) | NV |
110216401 | RAILROAD MEDICARE (01) | NV |
D24299 | (02) | NV |