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NPI Code Detail

MEDICARE: VICTORIA PAGANO

MEDICARE: VICTORIA PAGANO
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
1225X00000XOccupational Therapist46TR00879100NJ

General Provider Information

NPI Number : 1447806658
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA PAGANO
Provider Business Mailing Address
First Line : 3505 BERGEN TPKE
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-2435
Country : US
Telephone Number : 201-867-3585
Fax Number :
Provider Business Practice Location Address
First Line : 3161 KENNEDY BLVD
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-2303
Country : US
Telephone Number : 856-809-7242
Fax Number : 856-809-7269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2019
Last Update Date : 07/24/2021

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Directions to “ VICTORIA PAGANO ” Practice Location

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