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1790879005 NPI number — CODRIN EUGEN IACOB MD

NPI Number: 1790879005
Health Care Provider/Practitioner: CODRIN EUGEN IACOB MD

Information about “1790879005” NPI (CODRIN EUGEN IACOB MD) exists in 1790879005 in HTML format HTML  |  1790879005 in plain Text format TXT  |  1790879005 in PDF (Portable Document Format) PDF  |  1790879005 in an XML format XML  formats.

NPI Number : 1790879005 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790879005",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "IACOB",
    "FirstName": "CODRIN",
    "MiddleName": "EUGEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1279",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10009-8948",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "212-979-4156",
    "MailingAddressFaxNumber": "212-677-1284",
    "FirstLinePracticeLocationAddress": "310 E 14TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10003-4201",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "212-979-4156",
    "PracticeLocationAddressFaxNumber": "212-677-1284",
    "EnumerationDate": "10/03/2006",
    "LastUpdateDate": "02/27/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207ZP0102X",
        "TaxonomyName": "Anatomic Pathology & Clinical Pathology Physician",
        "LicenseNumber": "236911",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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