NPI | 1366542565 |
---|---|
Former Name | JILL M COCCHIOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NJ 25MA06547000) |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NJ MA65470) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2011-08-04 |