Whalio Doctors

NPI 1023050366

Phillip I Ayeni, MD

Practitioner Pediatrics Physician Hackensack, NJ

Practice location

Address
30 Prospect Ave Pediatrics, Hackensack, NJ 07601-1914
Phone
(201) 996-2000
Mailing address
75 Clifton Ave, Clifton, NJ 07011-1421

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 25MA06177800 (NJ)

Registry record

NPI
1023050366
Entity type
Individual
Sex (as registered)
Male
NPI issued
12 Jun 2006
Record last updated
28 Jan 2009

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.