# MDSTYLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376975649
- **Authorized official:** DR. MONICA TADROS MD, FACS (MEDICAL DIRECTOR, CEO)
- **Authorized official phone:** (201) 408-5430

## Contact information

- **Practice address:** 300 GRAND AVE, SUITE 104, ENGLEWOOD, NJ 07631-4398
- **Practice address phone:** (201) 408-5430
- **Practice address fax:** (201) 408-5437
- **Mailing address:** 300 GRAND AVE, SUITE 104, ENGLEWOOD, NJ 07631-4398
- **Mailing address phone:** (201) 408-5430
- **Mailing address fax:** (201) 408-5437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 25MA07910000 | NJ | Yes |

## Other

- **Enumeration date:** 08/08/2013
- **Last updated:** 09/19/2013