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Dr. Phillip I Ayeni, MD

Pediatrics in Hackensack, NJ. Individual provider (NPI-1).

NPI number1023050366
StatusActive
Last updated in NPPESJan 28, 2009

Details

NPI
1023050366
Entity type
Individual (NPI-1)
Name
Dr. Phillip I Ayeni
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 12, 2006
Last updated
Jan 28, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics25MA06177800NJYes

Practice location

30 Prospect Ave
Pediatrics
Hackensack, NJ 07601-1914

Phone 201-996-2000

Mailing address

75 Clifton Ave
Clifton, NJ 07011-1421

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