Healthcare Provider Details

I. General information

NPI: 1376871285
Provider Name (Legal Business Name): PARIS MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2009
Last Update Date: 12/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 ROUTE 202/206
BRIDGEWATER NJ
08807-1763
US

IV. Provider business mailing address

PO BOX 683
NEW PROVIDENCE NJ
07974-0683
US

V. Phone/Fax

Practice location:
  • Phone: 908-400-6949
  • Fax: 206-337-6443
Mailing address:
  • Phone: 908-400-6949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number25MA61025
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number25MA61025
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA61025
License Number StateNJ

VIII. Authorized Official

Name: DR. RICHARD TODD PARIS
Title or Position: OWNER
Credential: M.D.
Phone: 908-400-6949