Individual
DR. RANDYLL PAVIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 RIVER RD, PALISADES MEDICAL CENTER, NORTH BERGEN, NJ 07047-6217
(201) 854-5172
(201) 854-5772
Mailing address
43 KENSICO DR, 2ND FLOOR, MOUNT KISCO, NY 10549-1009
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA08029400
NJ
Other
Enumeration date
01/24/2006
Last updated
07/08/2007
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