Provider Demographics
NPI:1164698643
Name:JAMES S. PAOLINO, M.D., PA
Entity Type:Organization
Organization Name:JAMES S. PAOLINO, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:S
Authorized Official - Last Name:PAOLINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACR
Authorized Official - Phone:973-762-3738
Mailing Address - Street 1:2168 MILLBURN AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2640
Mailing Address - Country:US
Mailing Address - Phone:973-762-3738
Mailing Address - Fax:973-762-7878
Practice Address - Street 1:2168 MILLBURN AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2640
Practice Address - Country:US
Practice Address - Phone:973-762-3738
Practice Address - Fax:973-762-7878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA025728174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty