Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA35598 | NJ |
NPI | 1023117132 |
---|---|
Provider Name | Murray A Wolkstein |
First Address | Ridgewood, NJ 07450-5003 |
Second Address | Ridgewood, NJ 07450-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 10/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B12729 | (02) |