Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 25MA02036500 | NJ |
NPI | 1013262450 |
---|---|
Provider Name | Joseph Frascino |
First Address | Teaneck, NJ 07666-4245 |
Second Address | Teaneck, NJ 07666-4245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2012 |
Last Update Date | 23/07/2012 |