Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 2086S0129X | NJ |
NPI | 1154990661 |
---|---|
Provider Name | Joshua Akinsanya |
First Address | Newark, NJ 07103-3129 |
Second Address | Newark, NJ 07103-3129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2021 |
Last Update Date | 19/06/2021 |