Healthcare Provider Details

I. General information

NPI: 1518059351
Provider Name (Legal Business Name): LILLIAN F. PLINER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 03/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 CAYUGA WAY
SHORT HILLS NJ
07078-1202
US

IV. Provider business mailing address

47 CAYUGA WAY
SHORT HILLS NJ
07078-1202
US

V. Phone/Fax

Practice location:
  • Phone: 973-972-6257
  • Fax: 973-972-2384
Mailing address:
  • Phone: 973-972-6257
  • Fax: 973-972-2384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number25MA04791500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: