Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 25MA05049700 | NJ |
NPI | 1043393317 |
---|---|
Provider Name | Jozsef Samuel Duhl |
First Address | Avenel, NJ 07001 |
Second Address | Avenel, NJ 07001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 30/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4511107 | (05) | NJ |
E84172 | (02) |