Individual
DR. PHILLIP I AYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, PEDIATRICS, HACKENSACK, NJ 07601-1914
(201) 996-2000
Mailing address
75 CLIFTON AVE, CLIFTON, NJ 07011-1421
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06177800
NJ
Other
Enumeration date
06/12/2006
Last updated
01/28/2009
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