Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 32039 | MA |
NPI | 1013957547 |
---|---|
Provider Name | Joseph A Moretti |
First Address | Naples, FL 34120-4432 |
Second Address | Naples, FL 34120-4432 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 08/07/2007 |