Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath |
NPI | 1134218019 |
---|---|
Provider Name | Mrs. Irina Roytman |
First Address | Morganville, NJ 07751-1564 |
Second Address | Elizabeth, NJ 07208-3609 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 26/02/2010 |