Healthcare Provider Details

I. General information

NPI: 1417215971
Provider Name (Legal Business Name): DAVID FOLK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 W CENTURY RD STE 220
PARAMUS NJ
07652-1421
US

IV. Provider business mailing address

30 W CENTURY RD STE 220
PARAMUS NJ
07652-1421
US

V. Phone/Fax

Practice location:
  • Phone: 201-903-2727
  • Fax: 551-557-9086
Mailing address:
  • Phone: 201-903-2727
  • Fax: 551-557-9086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number25MA10308800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: