Revive Rheumatology of North Jersey, LLC
NPI #1245894971 in Paramus, New Jersey
Provider Information
- NPI Number
- 1245894971
- Entity Type
- Organization
- Organization Name
- Revive Rheumatology of North Jersey, LLC
- Primary Specialty
- Internal Medicine - Rheumatology
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Oct 22, 2019
Practice Location
- Address
- 100 WILLOWBROOK CT
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-1833
- Phone
- (772) 971-5848
Authorized Official
- Name
- SHAZIA SHADANI, DO
- Title
- PHYSICIAN
- Phone
- (772) 971-5848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Rheumatology — Rheumatology |
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