NPI 1376975649

Mdstyle

Organisation Otolaryngology/Facial Plastic Surgery Physician Englewood, NJ

Practice location

Address: 300 Grand Ave Suite 104, Englewood, NJ 07631-4398
Phone: (201) 408-5430
Fax: (201) 408-5437

Authorised official

Name: Monica Tadros
Title: Medical Director, Ceo
Phone: (201) 408-5430

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 25MA07910000 (NJ)

Other Otolaryngology providers in New Jersey →

Registry record

NPI: 1376975649
Entity type: Organization
NPI issued: 8 Aug 2013
Record last updated: 19 Sep 2013

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.