Individual
ANTONIO PALACIOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 HAMILTON ST, SJRMC MENTAL HEALTH CLINIC, PATERSON, NJ 07505-2003
(973) 754-4750
Mailing address
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER, PATERSON, NJ 07503-2621
(973) 754-2052
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA07498400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038067
—
NJ
Enumeration date
05/31/2006
Last updated
07/08/2007
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