Northern Valley Ent & Facial Plastics

NPI 1043421035 - Otolaryngology - 207YX0007X

NPI Details
NPI 1043421035
Enumeration Date 05/24/2007
Last Updated 09/24/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL PHILIP MICHAEL
Position OWNER,PRESIDENT
Phone (201) 569-6789
Fax (201) 569-6709
Practice Location
163 ENGLE ST
BUILDING 1B
ENGLEWOOD NJ, 07631-2535, US
Phone (201) 569-6789
Fax (201) 569-6709
Business Location
219 OLD HOOK RD
WESTWOOD NJ, 07675-3131, US
Phone (201) 666-8787
Fax (201) 358-6686
Toxanomy
Taxonomy Code 207YX0007X
License State New Jersey
License Number 25MA04931000
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According to our database, Northern Valley Ent & Facial Plastics NPI is 1043421035, taxonomy code is 207YX0007X and license number is 25MA04931000, license state is located at New Jersey. Northern Valley Ent & Facial Plastics physically located at 163 Engle St, Englewood NJ, 07631-2535. NPI Number 1033115704 has the healthcare provider type.

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1043421035 NPI number is provided on an as is basis without warranty of any kind. 1043421035 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Valley Ent & Facial Plastics are for informational purposes only.