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Contact Information

AVANT GUARD MEDICAL
1040 MAIN ST
FL 3
PATERSON, NJ07503-2212
 Phone: 888-233-3415
 Fax: 888-250-6364
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for AVANT GUARD MEDICAL · (Female)

NPI Number 1063866259
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2016
Last updated 04/14/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 252899
Hospital affiliation(s) Not Available
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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