Organization Name: | TRI-COUNTY ENT LLC |
NPI Number: | 1053632729 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAYDE M STECKOWYCH (PHYSICIAN) |
Mailing Address: | 246 N Franklin Tpke Suite 4 Ramsey |
State: | NJ US |
Postal Code: | 074461604 |
Phone Number: | 2018256165 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2010 |
NPI Last Update Date: | 06/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0905X |
License Number: | 25MA05778000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |