Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MA24429 | NJ |
N | 2080P0208X | Pediatric Infectious Diseases | MA24429 | NJ |
NPI | 1235218827 |
---|---|
Provider Name | Usha Setia |
First Address | Paramus, NJ 07652 |
Second Address | Paramus, NJ 07652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1296302 | (05) | NJ |
E23800 | (02) |