Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00164100 | NJ |
NPI | 1053396713 |
---|---|
Provider Name | Richard G Saglimbene |
First Address | Toms River, NJ 08755-4974 |
Second Address | Toms River, NJ 08755-4974 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2005 |
Last Update Date | 26/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3328201 | (05) | NJ |
T45637 | (02) | NJ |