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Organization

PARAMUS EMERGENCY SERVICES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL C PINELL MD (AUTHORIZED OFFICIAL)
(904) 805-1300
Entity
Organization

Contact information

Practice address
230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4131
(201) 967-4000
(904) 805-1302
Mailing address
PO BOX 827450, PHILADELPHIA, PA 19182-7450
(904) 805-1300
(904) 805-1302

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
610063200
DEPT OF LABOR
NJ
05
8908206
NJ
01
CK2591
RAILROAD MEDICARE
NJ
Enumeration date
05/27/2006
Last updated
07/23/2008
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