Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA07286000 | NJ |
Y | 207SG0201X | Clinical Genetics (M.D.) | 25MA07286000 | NJ |
NPI | 1881038321 |
---|---|
Provider Name | Masako Ueda |
First Address | Cherry Hill, NJ 08003-1900 |
Second Address | Cherry Hill, NJ 08003-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2013 |
Last Update Date | 16/12/2015 |