Healthcare Provider Details
I. General information
NPI: 1578829859
Provider Name (Legal Business Name): CHRISTINE DOBROSKY CAIRNS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/11/2012
Last Update Date: 04/19/2022
Certification Date: 04/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
95 MADISON AVE SUITE 105
MORRISTOWN NJ
07960-6092
US
IV. Provider business mailing address
17 SOUTHVIEW DR
SOUTH BURLINGTON VT
05403-6518
US
V. Phone/Fax
- Phone: 973-644-0808
- Fax:
- Phone: 201-602-2005
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | 25MA10035300 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: