Organization
BLUE RIVER WOMEN'S HEALTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMAN K SHILAD MD (MD)
(917) 436-5371
Entity
Organization
Contact information
Practice address
680 BROADWAY, STE 506 FIRST FLOOR, PATERSON, NJ 07514-1524
(973) 500-2399
(855) 302-5570
Mailing address
12-45 RIVER RD, SUITE 117, FAIR LAWN, NJ 07410-1812
(973) 209-0322
(855) 302-5570
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07788200
NJ
Other
Enumeration date
08/21/2014
Last updated
09/12/2016
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