Individual
LARISSA PILMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 CHESTNUT RIDGE RD, WOODCLIFF LAKE, NJ 07677-7663
(201) 391-2020
Mailing address
595 CHESTNUT RIDGE RD, WOODCLIFF LAKE, NJ 07677-7663
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10064700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2016
Last updated
03/17/2018
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