Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00207800 | NJ |
NPI | 1023250180 |
---|---|
Provider Name | Lynn Motasis |
First Address | Matawan, NJ 07747-6647 |
Second Address | Matawan, NJ 07747-6647 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2009 |
Last Update Date | 30/01/2019 |