Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 31TD00053900 | NJ |
NPI | 1023212719 |
---|---|
Provider Name | Mr. Aldo Alzapiedi |
First Address | Clifton, NJ 07013-3621 |
Second Address | Clifton, NJ 07013-3621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/07/2007 |