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Contact Information

ADRIANA M PHAN, MD
30 PROSPECT AVE
HACKENSACK, NJ07601-1915
 Phone: 551-996-3446
 Fax: 551-996-3602
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ADRIANA M PHAN · (Female)

NPI Number 1548317456
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2007
Last updated 04/03/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08700200
  • NY License # 255103
Hospital affiliation(s)
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
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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