Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 23594 | NJ |
Y | 208600000X | Surgeon | 23594 | NJ |
NPI | 1801077516 |
---|---|
Provider Name | Dr. James J. Monks |
First Address | Saddle River, NJ 07458-0374 |
Second Address | Saddle River, NJ 07458-2610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2007 |
Last Update Date | 21/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2687003 | (05) | NJ |
C52711 | (02) | NJ |