Whalio Doctors

NPI 1285977256

Paul Jai Therattil, MD

Practitioner Plastic Surgery Physician Maywood, NJ

Practice location

Address
113 W Essex St STE 202, Maywood, NJ 07607-1023
Phone
(973) 972-8092
Fax
(201) 603-1993
Mailing address
211 Woodbine Cir, New Providence, NJ 07974-1737

Registered specialties (2)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 25MA10358100 (NJ)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1285977256
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Mar 2013
Record last updated
20 Jun 2024

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.