Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgeon | DI01892400 | NJ |
NPI | 1417929852 |
---|---|
Provider Name | Paul A Galante |
First Address | Manasquan, NJ 08736 |
Second Address | Manasquan, NJ 08736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2006 |
Last Update Date | 08/07/2007 |