Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA07734300 | NJ |
NPI | 1003800848 |
---|---|
Provider Name | Mr. Jason I Steinfeld |
First Address | Holmdel, NJ 07733-1528 |
Second Address | Holmdel, NJ 07733-1528 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0662774 | (05) | NJ |
I20263 | (02) |