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Contact Information

PEDIATRIC OTOLARYNGOLOGIC ASSOCIATES
2 S SUMMIT AVE
2ND FLOOR
HACKENSACK, NJ07601-1117
 Phone: 201-996-9200
 Fax: 201-928-0167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for PEDIATRIC OTOLARYNGOLOGIC ASSOCIATES · (Female)

NPI Number 1457726986
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2015
Last updated 12/09/2015 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # MA 042686
  • NJ Other 1034365 HORIZON NJ HEALTH
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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