Organization
BARRY SLOAN, DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY SLOAN D.O (MEDICAL DOCTOR)
(201) 957-5864
Entity
Organization
Contact information
Practice address
14 OAK ST, ELMWOOD PARK, NJ 07407-2020
(201) 957-5864
Mailing address
14 OAK ST, ELMWOOD PARK, NJ 07407-2020
(201) 957-5864
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
MB53521
NJ
204R00000X
Electrodiagnostic Medicine Physician
MB53521
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MB53521
MEDICAL LICENCE NUMBER
NJ
Enumeration date
05/29/2015
Last updated
05/29/2015
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