Healthcare Provider Details

I. General information

NPI: 1538508155
Provider Name (Legal Business Name): BARNABAS HEALTH PHYSICIAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2013
Last Update Date: 06/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 OLD SHORT HILLS RD
WEST ORANGE NJ
07052-1008
US

IV. Provider business mailing address

95 OLD SHORT HILLS RD
WEST ORANGE NJ
07052-1008
US

V. Phone/Fax

Practice location:
  • Phone: 732-557-7119
  • Fax:
Mailing address:
  • Phone: 732-557-7119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY SLONIM
Title or Position: DIRECTOR
Credential: MD
Phone: 732-557-7119