Organization Name: | PAGNANI-BRAGA-KIMMEL UROLOGIC ASSOC, P.A. |
NPI Number: | 1538116660 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAIL MARIE SIMERSON (PRACTICE MANAGER) |
Mailing Address: | 222 New Road Building 700 Central Park East Linwood |
State: | NJ UM |
Postal Code: | 08221 |
Phone Number: | 6096534343 |
Fax Number: | 6096534716 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 04/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |