Saidabaxtmdpa

NPI #1891837209 in Paramus, New Jersey

Provider Information

NPI Number: 1891837209
Entity Type: Organization
Organization Name: Saidabaxtmdpa
Primary Specialty: Dermatology
Enumeration Date: Feb 13, 2007
Last Updated: Sep 29, 2008

Practice Location

Address: 351 EVELYN ST
Address 2: 2ND FLOOR
City: Paramus
State: New Jersey
ZIP Code: 07652-2901
Phone: (201) 265-1300

Authorized Official

Name: MELINDA L JOSE
Title: OFFICE MANAGER
Phone: (201) 265-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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