Individual
HONORA VALANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 07004-1592
(973) 826-8080
(866) 309-3354
Mailing address
PO BOX 4059, WAYNE, NJ 07474-4059
(973) 894-1264
(888) 972-6480
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA03498800
NJ
208600000X
Surgery Physician
Primary
25MA03498800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027910
—
NJ
01
—
P00224310
RAILROAD MEDICARE PROVIDE
NJ
Enumeration date
05/17/2007
Last updated
03/27/2017
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