Individual
DR. JON PAUL DADAIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
554 BOULEVARD, ELMWOOD PARK, NJ 07407
(973) 365-5844
Mailing address
554 BOULEVARD, ELMWOOD PARK, NJ 07407-3441
(974) 204-2645
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08092000
NJ
208VP0000X
Pain Medicine Physician
Primary
25MA08092000
NJ
Other
Enumeration date
08/15/2006
Last updated
04/11/2017
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