Provider Demographics
NPI:1184075855
Name:BARBARA SOLOMON MD
Entity type:Organization
Organization Name:BARBARA SOLOMON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SELF
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-569-2027
Mailing Address - Street 1:20 W PALISADE AVE
Mailing Address - Street 2:SUITE 4109
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2717
Mailing Address - Country:US
Mailing Address - Phone:201-569-2027
Mailing Address - Fax:201-569-3811
Practice Address - Street 1:20 W PALISADE AVE
Practice Address - Street 2:SUITE 4109
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2717
Practice Address - Country:US
Practice Address - Phone:201-569-2027
Practice Address - Fax:201-569-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY165929261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service