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Individual

MICHAEL NOVOGRODER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
704 PALISADE AVE, TEANECK, NJ 07666-3144
(201) 836-4301
(201) 836-5110
Mailing address
704 PALISADE AVE, TEANECK, NJ 07666-3144
(201) 836-4301
(201) 530-7337

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
1064061
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
25MA03138700
NJ

Other

Enumeration date
05/20/2006
Last updated
07/05/2013
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