Healthcare Provider Details

I. General information

NPI: 1790731925
Provider Name (Legal Business Name): BURTON ELIOT APPEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PROSPECT AVE TOMORROWS CHILDREN'S INSTITUE
HACKENSACK NJ
07601-1914
US

IV. Provider business mailing address

30 PROSPECT AVE TOMORROWS CHILDREN'S INSTITUE
HACKENSACK NJ
07601-1914
US

V. Phone/Fax

Practice location:
  • Phone: 201-996-5437
  • Fax: 201-487-7340
Mailing address:
  • Phone: 201-996-5437
  • Fax: 201-487-7340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberMA66390
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: