Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | 25MA09916800 | NJ |
Y | 208800000X | Urologist | MD60453256 | WA |
NPI | 1053578831 |
---|---|
Provider Name | Kevin Thomas Gioia |
First Address | Rumson, NJ 07760-1802 |
Second Address | Rumson, NJ 07760-1802 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 17/06/2019 |