Provider Demographics
NPI:1447438296
Name:PAUL DOLINER, M.D.,P.C.
Entity type:Organization
Organization Name:PAUL DOLINER, M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOLINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-464-5415
Mailing Address - Street 1:308 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1278
Mailing Address - Country:US
Mailing Address - Phone:908-464-5415
Mailing Address - Fax:732-282-0039
Practice Address - Street 1:308 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07922-1278
Practice Address - Country:US
Practice Address - Phone:908-464-5415
Practice Address - Fax:732-282-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA01849900261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ121327Medicaid