Individual
DR. PAUL T ITTOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 PALISADE AVE, UNION CITY, NJ 07087-4429
(201) 863-4547
(973) 316-0459
Mailing address
2001 PALISADE AVE, UNION CITY, NJ 07087-4429
(201) 863-4547
(973) 316-0459
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MAO3862600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3461203
—
NJ
Enumeration date
10/25/2006
Last updated
07/08/2007
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