Individual
DR. MICHAEL UMANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2323
(973) 977-9455
Mailing address
PO BOX 1593, SECAUCUS, NJ 07096-1593
(201) 635-1003
(201) 635-1332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA45426
NJ
208VP0000X
Pain Medicine Physician
Primary
25MA04542600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461202
—
NJ
Enumeration date
07/08/2005
Last updated
08/07/2013
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