Individual
KAPILA V PAGHDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 ROUTE 17, SUITE 2, RIDGEWOOD, NJ 07450-2010
(201) 652-4536
Mailing address
400 ROUTE 17, SUITE 2, RIDGEWOOD, NJ 07450-2010
(201) 652-4536
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
ME112585
FL
207NS0135X
Procedural Dermatology Physician
Primary
25MA09345800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012209600
—
FL
Enumeration date
06/23/2008
Last updated
09/10/2014
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