Active NPIIndividual providerSole proprietor

Dr. Philip S Ledereich, MD

Otolaryngology, Otolaryngology/Facial Plastic Surgery in Clifton, New Jersey

NPI Number1881697373
Practice location
1033 Clifton Avenue, Suites 204 And 206, Clifton, NJ 07013
Fax
973-470-8288
Last updated
July 25, 2012

Philip Stanley Ledereich is an Otolaryngology, Otolaryngology/Facial Plastic Surgery based in Clifton, NJ. Philip Stanley Ledereich practices in Clifton, NJ and has the professional credentials of MD. The NPI Number for Philip Stanley Ledereich is 1881697373 and holds a License No. MA062691 (NJ). The current practice location address for Philip Stanley Ledereich is 1033 Clifton Avenue, Suites 204 And 206, Clifton, NJ 07013 and can be reached out via phone at 973-470-8266 and via fax at 973-470-8288.

Provider Profile Details

NPI Number
1881697373
Provider Name
Philip Stanley Ledereich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1033 Clifton Avenue, Suites 204 And 206, Clifton, NJ 07013
Phone Number
973-470-8266
Fax Number
973-470-8288
Sole Proprietor
Yes
Provider Enumeration Date
May 27, 2005
Last Update Date
July 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
1033 Clifton Avenue
Suites 204 And 206
Clifton, NJ 07013
Zip
07013
Phone Number
973-470-8266
Fax Number
973-470-8288
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
1033 Clifton Avenue
Suite 204
Clifton, NJ 07013
City
Clifton
State
NJ
Zip
07013
Phone Number
973-470-8266
Fax Number
973-470-8288

License Information

License Number
MA062691
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Philip S Ledereich, MD?

The NPI number of Dr. Philip S Ledereich, MD is 1881697373. It was assigned on May 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Philip S Ledereich, MD?

Dr. Philip S Ledereich, MD is registered under the primary taxonomy Otolaryngology, Otolaryngology/Facial Plastic Surgery (code 207YX0905X), licensed in NJ under license number MA062691.

Where does Dr. Philip S Ledereich, MD practice?

The practice location is 1033 Clifton Avenue, Suites 204 And 206, Clifton, NJ 07013. The office can be reached at 973-470-8266 (phone) or 973-470-8288 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881697373 directly on the NPPES registry website.

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