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Contact Information

PHILLIP S DEVADAN, MD
HACKENSACK UNIVERSITY MEDICAL CENTER
30 PROSPECT AVE
HACKENSACK, NJ07601
 Phone: 551-996-3182
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for PHILLIP S DEVADAN · (Male)

NPI Number 1740335892
Status Active
Credentials MD
Entity Individual
Enumeration date 01/25/2007
Last updated 06/20/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA72068
  • NJ Other 203BP02004 TAXONOMY
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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