Individual
PAUL ANTHONY FODDAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
142 PALISADE AVE, SUITE 220, JERSEY CITY, NJ 07306-1133
(201) 795-0904
(201) 795-3450
Mailing address
142 PALISADE AVE, SUITE 220, JERSEY CITY, NJ 07306-1133
(201) 795-0904
(201) 795-3450
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA03814700
NJ
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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