Individual provider · Type 1 NPI
Aenov Lance, MD
Student in an Organized Health Care Education/Training Program · Cresskill, NJ
NPI number
1760779805
Active
Practice location
104 14th St
Cresskill, NJ 07626-2408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1760779805
Aenov Lance, MD's National Provider Identifier is 1760779805, issued on Jul 8, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cresskill, NJ. The record was last updated on Jul 8, 2011.