Provider Demographics
NPI:1518057694
Name:PAULA M. PESCI, M.D., LLC
Entity Type:Organization
Organization Name:PAULA M. PESCI, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PESCI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-615-9217
Mailing Address - Street 1:1 GLIMPSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3767
Mailing Address - Country:US
Mailing Address - Phone:973-615-9217
Mailing Address - Fax:973-292-9565
Practice Address - Street 1:139 SOUTH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW PROVIDENCE
Practice Address - State:NJ
Practice Address - Zip Code:07974-1999
Practice Address - Country:US
Practice Address - Phone:973-615-9217
Practice Address - Fax:973-292-9565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04765200261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health