Organization Name: | JON PAUL DADAIAN P.C. |
NPI Number: | 1841506250 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JON-PAUL DADAIAN (CHAIRMAN/OWNER) |
Mailing Address: | 434 Main Ave Wallington |
State: | NJ US |
Postal Code: | 070571830 |
Phone Number: | 9733655844 |
Fax Number: | 9733655811 |
NPI Enumeration Date: | 08/23/2010 |
NPI Last Update Date: | 08/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | 25MA08092000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |