NPI 1013284108

Ear Nose and Throat Solutions of Nj

Organisation Otolaryngology Physician Nutley, NJ

Practice location

Address: 187 Washington Ave Suite 2i, Nutley, NJ 07110-3935
Phone: (973) 235-0090
Fax: (973) 995-1145

Authorised official

Name: Derrick I Wallace
Title: Managing Partner
Phone: (973) 235-0095

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence MA08175200 (NJ)

Other Otolaryngology providers in New Jersey →

Registry record

NPI: 1013284108
Entity type: Organization
NPI issued: 17 Nov 2011
Record last updated: 15 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.