Organization
MDSTYLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONICA TADROS MD, FACS (MEDICAL DIRECTOR, CEO)
(201) 408-5430
Entity
Organization
Contact information
Practice address
300 GRAND AVE, SUITE 104, ENGLEWOOD, NJ 07631-4398
(201) 408-5430
(201) 408-5437
Mailing address
300 GRAND AVE, SUITE 104, ENGLEWOOD, NJ 07631-4398
(201) 408-5430
(201) 408-5437
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
25MA07910000
NJ
Other
Enumeration date
08/08/2013
Last updated
09/19/2013
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