Provider Demographics
NPI:1205263076
Name:APELIAN, DAVID (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:APELIAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 OLD BEACH GLEN RD
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-9521
Mailing Address - Country:US
Mailing Address - Phone:973-784-3372
Mailing Address - Fax:973-784-3372
Practice Address - Street 1:3 OLD BEACH GLEN RD
Practice Address - Street 2:
Practice Address - City:BOONTON
Practice Address - State:NJ
Practice Address - Zip Code:07005-9521
Practice Address - Country:US
Practice Address - Phone:973-784-3372
Practice Address - Fax:973-784-3372
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-10
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY210431208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics