Provider Demographics
NPI:1295218469
Name:PAZCOGUIN, ARNOLD TURLA
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:TURLA
Last Name:PAZCOGUIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 MURRAY HILL TER
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-3013
Mailing Address - Country:US
Mailing Address - Phone:201-606-1618
Mailing Address - Fax:
Practice Address - Street 1:27 MURRAY HILL TER
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-3013
Practice Address - Country:US
Practice Address - Phone:201-606-1618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028313-12251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics