Individual
DR. PHILIP JUDE PASSALAQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1131 BROAD ST, SUITE 103, SHREWSBURY, NJ 07702-4329
(732) 389-3388
(732) 389-3389
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA07227800
NJ
Other
Enumeration date
01/03/2006
Last updated
04/01/2019
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