Individual
DR. RAPHAEL PAISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.A.P.
Contact information
Practice address
73 PARK ST, MONTCLAIR, NJ 07042-2903
(973) 746-7375
(973) 746-6772
Mailing address
LB# 7550 PO BOX 95000, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04799500
NJ
Other
Enumeration date
11/20/2006
Last updated
12/12/2017
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