Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 25MA05056200 | NJ |
NPI | 1639170871 |
---|---|
Provider Name | John J Oppenheimer |
First Address | Boston, MA 02241-6457 |
Second Address | Cedar Knolls, NJ 07927-1902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2005 |
Last Update Date | 16/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
121677 | CHN INS. (01) | NJ |
222233003 | HORIZON BC (01) | NJ |
222233003019 | CIGNA INS. (01) | NJ |
30002942 | RAILROAD MEDICARE (01) | NJ |
4263616 | AETNA (01) | NJ |
5534500 | (05) | NJ |
67H422 | EMPIRE HEALTH (01) | NJ |
E89639 | (02) | NJ |
IS245 | OXFORD INS. (01) | NJ |