Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MA052372 | NJ |
NPI | 1043260250 |
---|---|
Provider Name | Maria C Carta |
First Address | Hammonton, NJ 08037-2013 |
Second Address | Mount Laurel, NJ 08054-3701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 12/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2266709 | (05) | NJ |
E15301 | (02) |