Healthcare Provider Details

I. General information

NPI: 1134596695
Provider Name (Legal Business Name): MARIA VICTORIA IRIBARREN VALERO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2015
Last Update Date: 08/15/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MADISON ST
MORRISTOWN NJ
07960
US

IV. Provider business mailing address

20 EDINBURGH DR.
RANDOLPH NJ
07869
US

V. Phone/Fax

Practice location:
  • Phone: 973-971-5227
  • Fax: 973-290-7164
Mailing address:
  • Phone: 509-574-3220
  • Fax: 509-574-3211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number295657
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberMD61086246
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number25MA12654300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: