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1174937544 NPI number — ILONA POLUR ROSSIGNOL D.M.D.

NPI Number: 1174937544
Health Care Provider/Practitioner: ILONA POLUR ROSSIGNOL D.M.D.

Information about “1174937544” NPI (ILONA POLUR ROSSIGNOL D.M.D.) exists in 1174937544 in HTML format HTML  |  1174937544 in plain Text format TXT  |  1174937544 in PDF (Portable Document Format) PDF  |  1174937544 in an XML format XML  formats.

NPI Number : 1174937544 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174937544",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROSSIGNOL",
    "FirstName": "ILONA",
    "MiddleName": "POLUR",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "125 DUNNELL RD",
    "SecondLineMailingAddress": "313",
    "MailingAddressCityName": "MAPLEWOOD",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "07040-2666",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "347-834-3500",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "547 E BROAD ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WESTFIELD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "07090-2107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "908-233-8668",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/13/2014",
    "LastUpdateDate": "05/02/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "057498-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "1223X0400X",
          "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
          "LicenseNumber": "22DI02485800",
          "LicenseNumberStateCode": "NJ",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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