Healthcare Provider Details

I. General information

NPI: 1023072022
Provider Name (Legal Business Name): ROBERT A HANDS JR MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 E SADDLE RIVER RD
UPPER SADDLE RIVER NJ
07458
US

IV. Provider business mailing address

331 E SADDLE RIVER RD
UPPER SADDLE RIVER NJ
07458
US

V. Phone/Fax

Practice location:
  • Phone: 201-327-9080
  • Fax: 201-327-2678
Mailing address:
  • Phone: 201-327-9080
  • Fax: 201-327-2678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberNY104142
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberNJ28710
License Number StateNJ

VIII. Authorized Official

Name: DR. ROBERT ADRIAN HANDS JR.
Title or Position: MD PA
Credential: MD PA
Phone: 201-327-9080