Individual
JOANNA PAGANOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1144
(973) 896-8491
Mailing address
39 NEWARK POMPTON TPKE, RIVERDALE, NJ 07457-1144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18KT00257100
NJ
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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