Provider Demographics
NPI:1508506494
Name:VISTA WOMENS HEALTHCARE P.A
Entity Type:Organization
Organization Name:VISTA WOMENS HEALTHCARE P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:AIMAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHILAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-436-5371
Mailing Address - Street 1:12-45 RIVER RD STE 117
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1812
Mailing Address - Country:US
Mailing Address - Phone:973-841-5550
Mailing Address - Fax:973-653-3926
Practice Address - Street 1:680 BROADWAY STE 506
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514-1530
Practice Address - Country:US
Practice Address - Phone:973-841-5550
Practice Address - Fax:973-653-3926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty