Doctor Name: | VALERIE PAGAN |
NPI Number: | 1124437975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFOM ATP, CRTS |
License Number: | |
Business Practice Address: | 154 Union Ave Apt 23 Rutherford, NJ - 07070 |
Business Phone Number: | 2014062308 |
Business Fax Number: | 2019640126 |
Mailing Address: | 154 Union Ave Apt 23, RUTHERFORD |
State: | NJ |
Postal Code: | 07070 |
Phone Number: | 2014062308 |
Fax Number: | 2019640126 |
NPI Enumeration Date: | 08/06/2014 |
NPI Last Update Date: | 08/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 224900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Mastectomy Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |