Individual
DR. THERESA ANN PALADINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
272 BROAD ST, RED BANK, NJ 07701-2003
(732) 741-0456
Mailing address
272 BROAD ST, MONMOUTH PEDIATRIC GROUP, RED BANK, NJ 07701-2003
(732) 741-0456
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB07376800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039781
—
NJ
Enumeration date
10/19/2005
Last updated
07/16/2007
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