Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 44SC00096900 | NJ |
NPI | 1992925259 |
---|---|
Provider Name | Ms. Toni Arlene Pasquale |
First Address | Montclair, NJ 07042-3525 |
Second Address | Montclair, NJ 07042 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2007 |
Last Update Date | 13/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1992925259 | MEDICARE (01) | NJ |