Organization
PARAMUS PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATIANA SHTERN M.D. (OWNER)
(201) 712-1599
Entity
Organization
Contact information
Practice address
22 MADISON AVE STE 101, PARAMUS, NJ 07652-2721
(201) 712-1599
(201) 712-7996
Mailing address
22 MADISON AVE STE 101, PARAMUS, NJ 07652-2721
(201) 712-1599
(201) 712-7996
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MA 71301
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8480401
—
NJ
Enumeration date
01/15/2009
Last updated
01/15/2009
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