Healthcare Provider Details

I. General information

NPI: 1346597770
Provider Name (Legal Business Name): NORTHERN VALLEY ENT & FACIAL PLASTICS, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2012
Last Update Date: 08/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 OLD HOOK RD SUITE 204
WESTWOOD NJ
07675-3246
US

IV. Provider business mailing address

354 OLD HOOK RD SUITE 204
WESTWOOD NJ
07675-3246
US

V. Phone/Fax

Practice location:
  • Phone: 201-666-8787
  • Fax: 201-358-6686
Mailing address:
  • Phone: 201-666-8787
  • Fax: 201-358-6686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHAEL P SCHERL
Title or Position: OWNER PRESIDENT
Credential: M.D.
Phone: 201-666-8787