Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MA56813 | NJ |
N | 2080N0001X | Neonatal-Perinatal Doctor | MA56813 | NJ |
NPI | 1114011095 |
---|---|
Provider Name | Mirta Veber |
First Address | River Vale, NJ 07675 |
Second Address | Westwood, NJ 07675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |