Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 47709 | NJ |
NPI | 1023123650 |
---|---|
Provider Name | Joseph S Sobelman |
First Address | Livingston, NJ 07039-5604 |
Second Address | Livingston, NJ 07039-5604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 03/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C54959 | (02) | NJ |