Individual
DR. BARRY E LOSASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 W CENTURY RD STE 235, PARAMUS, NJ 07652-1421
(201) 225-9440
(848) 235-7174
Mailing address
30 W CENTURY RD STE 235, PARAMUS, NJ 07652-1421
(201) 225-9440
(848) 235-7174
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G41471
CA
2086S0120X
Pediatric Surgery Physician
Primary
25MA9779600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G414710
—
CA
01
—
222615577
PROVIDER TAX ID
NJ
01
—
33-0642904
PROVIDER TAX ID
CA
Enumeration date
12/07/2005
Last updated
09/28/2023
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