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NPI Code Detail

MEDICARE: DR. JOHN PETER SCIAN MD

MEDICARE: DR. JOHN PETER SCIAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMA45335NJ

General Provider Information

NPI Number : 1306807854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN PETER SCIAN MD
Provider Business Mailing Address
First Line : 16 POMPTON AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442
Country : US
Telephone Number : 973-831-6866
Fax Number : 973-831-9639
Provider Business Practice Location Address
First Line : 16 POMPTON AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1895
Country : US
Telephone Number : 973-831-6866
Fax Number : 973-831-9639
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 03/23/2021

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