Dora Iankelevna Suldan
MD | Pediatrics | Female
Dora Iankelevna Suldan, MD is a Teaneck, New Jersey based Pediatric doctor with medical specialization in
General Pediatrics. Dora Iankelevna Suldan is also known as
Dora Iankelevna Lidagoster.
Current practice location of Dora Iankelevna Suldan is
870 Palisade Ave, Suite 201, Teaneck, New Jersey - 07666-3419. She can be contacted on phone at
201-692-1661 and fax number 201-692-9219.
Dora Iankelevna Suldan is a sole proprietor of her business.
NPI number (Unique professional ID) for Dora Iankelevna Suldan is
1831137918 which was assigned by NPPES on 02 Jun, 2006 and it was last updated on 18 Jan, 2013.
Dora Iankelevna Suldan license number is
MA61030 for Pediatrics (208000000X) in New Jersey.
Dora Iankelevna Suldan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dora Iankelevna Suldan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dora Iankelevna Suldan |
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| Other Name : | Dora Iankelevna Lidagoster |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dora Iankelevna Suldan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 870 Palisade Ave, Suite 201
Teaneck, NJ, 07666-3419
United States |
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| Phone Number : | 201-692-1661 |
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| Fax Number : | 201-692-9219 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1831137918 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Jun, 2006 |
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| Last Updated On : | 18 Jan, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dora Iankelevna Suldan are as mentioned. Primary taxonomy code for Dora Iankelevna Suldan, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MA61030 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dora Iankelevna Suldan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 6288804 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 870 Palisade Ave, Suite 201
Teanelk, NJ, 07666
United States |
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| Phone Number : | 201-692-1661 |
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| Fax Number : | 201-692-9219 |
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Business Location:
Patients can refer following map for directions to
Dora Iankelevna Suldan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.