Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 33971 | NJ |
N | 207RA0201X | Internist - Allergy & Immunology | 33971 | NJ |
NPI | 1932107554 |
---|---|
Provider Name | Joseph Grizzanti |
First Address | Hawthorne, NJ 07506-1919 |
Second Address | Hawthorne, NJ 07506-1919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
08492890004 | CIGNA (01) | |
1207709 | (05) | NJ |
1K3901 | HEALTHNET (01) | |
2189627 | AETNA (01) | |
BS091 | OXFORD (01) | |
C63213 | (02) | NJ |