Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 25MA06898300 | NJ |
NPI | 1629161302 |
---|---|
Provider Name | Jeffrey T Naiman |
First Address | East Brunswick, NJ 08816-5426 |
Second Address | East Brunswick, NJ 08816-3610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7646500 | (05) | NJ |
G68261 | (02) | NJ |