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Individual

PIERRE MALDJIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 BERGEN ST, LEVEL C, NEWARK, NJ 07103-2496
(973) 972-5188
(973) 972-7429
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25MA05095600
NJ
2085R0202X
Diagnostic Radiology Physician
25MA05095600
NJ
2085U0001X
Diagnostic Ultrasound Physician
Primary
25MA05095600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5475406
NJ
Enumeration date
08/25/2006
Last updated
03/21/2022
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