Provider Demographics
NPI:1003899063
Name:LADOV, NORMAN H (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:H
Last Name:LADOV
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:933 ROUTE 23 S
Mailing Address - Street 2:SUITE 410
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444
Mailing Address - Country:US
Mailing Address - Phone:973-839-0200
Mailing Address - Fax:973-839-4749
Practice Address - Street 1:933 ROUTE 23 S
Practice Address - Street 2:SUITE 410
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444
Practice Address - Country:US
Practice Address - Phone:973-839-0200
Practice Address - Fax:973-839-4749
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA328732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2349906Medicaid
C54439Medicare UPIN
NJ2349906Medicaid