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NJ FACE DOCTOR PC NPI 1659016293


NPI Information

NPI: 1659016293
Provider Name: NJ FACE DOCTOR PC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

Address:
55 MEADOWLANDS PKWY
SECAUCUS, NJ
ZIP 07094
Phone: (917) 660-6644
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NJ FACE DOCTOR PC is a facial plastic surgery otolaryngology in Secaucus, NJ. The provider is an otolaryngologist who specializes in facial plastic surgery. NJ FACE DOCTOR PC NPI is 1659016293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

55 MEADOWLANDS PKWY
SECAUCUS, NJ
ZIP 07094-977
Phone: (917) 660-6644
Fax: (866) 401-0389

The provider's authorized official is Tal Dagan .
The authorized official title is President and has the following contact phone number (917) 660-6644.

The enumeration date for this NPI number is 4/28/2022 and was last updated on 4/28/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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