Individual
JONATHAN S. SCHIFFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
192 HIGH ST, PASSAIC, NJ 07055-4614
(973) 472-0365
(973) 472-1007
Mailing address
192 HIGH ST, PASSAIC, NJ 07055-4614
(973) 472-0365
(973) 472-1007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
219512
NY
208000000X
Pediatrics Physician
Primary
25MA06830300
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
219512
NY
2080P0203X
Pediatric Critical Care Medicine Physician
25MA06830300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8284202
—
NJ
Enumeration date
07/28/2005
Last updated
07/11/2007
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