Organization
ALEX R PAVON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX RODRIGO PAVON M.D. (OWNER)
(201) 503-1000
Entity
Organization
Contact information
Practice address
106 W PALISADE AVE, SUITE 101, ENGLEWOOD, NJ 07631-2633
(201) 503-1000
(201) 568-4300
Mailing address
PO BOX 5917, ENGLEWOOD, NJ 07631-5917
(201) 568-6200
(201) 568-4300
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA07135200
NJ
Other
Enumeration date
03/27/2008
Last updated
04/07/2008
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