Bolivar Pascual in Clifton - Psychiatry

Bolivar Pascual - NPI 1104882141

Bolivar Pascual is a Psychiatry in Clifton, New Jersey. Bolivar Pascual practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Bolivar Pascual is 1104882141. The last update date is 2014-04-25.

Bolivar Pascual's current location address is 469 Clifton Ave, Clifton, New Jersey. You can contact this provider via phone number 9732530266. The mailing address for Bolivar Pascual is 469 Clifton Ave, Clifton, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Bolivar Pascual
Address 469 Clifton Ave, Clifton, New Jersey
Phone Number 9732530266
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1104882141
Provider Enumeration Date 2006-04-26
Last Updated Date 2014-04-25

Provider Mailing Address Detail

Address 469 Clifton Ave
City Clifton
State New Jersey (NJ)
Post Code 70113227
Phone Number 9732530266
Fax Number

Provider's Primary Taxonomy Detail

Speciality Psychiatry
Taxonomy 2084P0800X
Licence No 25MA07199200
Definition:
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8949301 NJ --

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FAQs about Bolivar Pascual

What is the unique identifier code issued to Bolivar Pascual by the Centers for Medicare & Medicaid Services?

The Bolivar Pascual has been assigned the NPI (National Provider Identifier) 1104882141. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Bolivar Pascual is physically located?

The Bolivar Pascual is situated at the following address: 469 Clifton Ave, Clifton, NJ 70113227.

What is Bolivar Pascual's specialized field of practice, and what is the corresponding taxonomy classification code?

The Bolivar Pascual's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.

On what date was the 1104882141 assigned to Bolivar Pascual?

The Bolivar Pascual was issued its 1104882141 on 2006-04-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Bolivar Pascual, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bolivar Pascual, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-25.

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