Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 25MA2818600 | NJ |
NPI | 1164470795 |
---|---|
Provider Name | Joseph Ramieri |
First Address | Boston, MA 02241-6457 |
Second Address | Morristown, NJ 07960-6092 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 05/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C60981 | (02) | NJ |