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General NPI Number Information
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NPI Number | 1508506494
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Entity Type | Organization
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Legal Business Name | VISTA WOMENS HEALTHCARE P.A
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 680 BROADWAY STE 506
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City | PATERSON
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State | NJ
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Zip | 07514-1530
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Country | US
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Telephone | 973-841-5550
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Fax | 973-653-3926
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Provider Business Mailing Address
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Address Line | 12-45 RIVER RD STE 117
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City | FAIR LAWN
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State | NJ
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Zip | 07410-1812
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Country | US
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Telephone | 973-841-5550
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Fax | 973-653-3926
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Authorized Official
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Title or Position | MD
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Name | DR. AIMAN K SHILAD
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Credential | MD
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Telephone | 917-436-5371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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