Healthcare Provider Details

I. General information

NPI: 1255324406
Provider Name (Legal Business Name): PAUL VERONA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 W SAINT GEORGES AVE
LINDEN NJ
07036-5638
US

IV. Provider business mailing address

10 CHESTERFIELD DR
CHESTER NJ
07930-2019
US

V. Phone/Fax

Practice location:
  • Phone: 908-925-2273
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number25MA04456500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: