Healthcare Provider Details

I. General information

NPI: 1588187231
Provider Name (Legal Business Name): STEVEN E DANZIGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 02/05/2023
Certification Date: 02/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 ROCKWOOD PL STE 110
ENGLEWOOD NJ
07631-4959
US

IV. Provider business mailing address

25 ROCKWOOD PL STE 110
ENGLEWOOD NJ
07631-4959
US

V. Phone/Fax

Practice location:
  • Phone: 201-894-5805
  • Fax: 201-896-1956
Mailing address:
  • Phone: 18-945-8052
  • Fax: 201-894-1956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number25MA11527000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: