Individual
DR. DANIEL JINTAE PYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 MADISON AVE, SUITE 120, MORRISTOWN, NJ 07960-7360
(973) 540-9055
(973) 540-0344
Mailing address
131 MADISON AVE, SUITE 120, MORRISTOWN, NJ 07960-7360
(973) 540-9055
(973) 540-0344
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA06570500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023387
MEDICARE
NJ
Enumeration date
09/13/2006
Last updated
01/07/2011
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