Provider Demographics
NPI:1548220387
Name:SIRNA, PAUL WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:WILLIAM
Last Name:SIRNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:36 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2440
Mailing Address - Country:US
Mailing Address - Phone:973-239-7001
Mailing Address - Fax:973-239-8867
Practice Address - Street 1:36 PARK AVE
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2440
Practice Address - Country:US
Practice Address - Phone:973-239-7001
Practice Address - Fax:973-239-8867
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA069271208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics