Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 26NJ00985600 | NJ |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 26NJ00985600 | NJ |
NPI | 1184269102 |
---|---|
Provider Name | Mr. Edward George Norton JR. |
First Address | Marlton, NJ 08053-4197 |
Second Address | Marlton, NJ 08053-1855 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2019 |
Last Update Date | 16/10/2020 |