Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25MA10798500 | NJ |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 25MA10798500 | NJ |
NPI | 1194145623 |
---|---|
Provider Name | Katherine Armstrong |
First Address | Cresskill, NJ 07626-1416 |
Second Address | Hackensack, NJ 07601-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2014 |
Last Update Date | 25/03/2020 |