Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA59654 | NJ |
NPI | 1003825514 |
---|---|
Provider Name | Linda Y Kalnins |
First Address | Mendham, NJ 07945-3038 |
Second Address | Mendham, NJ 07945-3038 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 10/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E99737 | (02) | NJ |
MA59654 | LICENSE NUMBER (01) | NJ |