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Contact Information

PHILIP J PASSALAQUA, MD
1131 BROAD ST
SUITE 103
SHREWSBURY, NJ07702-4329
 Phone: 732-389-3388
 Fax: 732-389-3389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for PHILIP J PASSALAQUA · (Male)

NPI Number 1730167560
Status Active
Credentials MD
Entity Individual
Enumeration date 01/03/2006
Last updated 04/01/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07227800
Hospital affiliation(s)
  • MONMOUTH MEDICAL CENTER - (Acute Care)
    300 SECOND AVENUE
    LONG BRANCH, NJ 07740
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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