Organization
SMC MED PA
Active
Organization
SMC MED PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL T. DIERLAM MD (DIRECTOR)
(908) 268-2754
Entity
Organization
Contact information
Practice address
61 MARBLE HILL RD, GREAT MEADOWS, NJ 07838-2314
(201) 804-2800
(201) 804-8883
Mailing address
PO POX 147, VIENNA, NJ 07880
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA05562800
NJ
Other
Enumeration date
05/22/2012
Last updated
05/30/2012
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