Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 25MB06935000 | NJ |
NPI | 1003054552 |
---|---|
Provider Name | Mrs. Cathleen Mary Saros |
First Address | North Haledon, NJ 07508-2665 |
Second Address | North Haledon, NJ 07508-2665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2009 |
Last Update Date | 06/05/2014 |