Provider Demographics
NPI:1609002823
Name:WEST HUDSON PULMONARY ASSOCIATES CORPC
Entity type:Organization
Organization Name:WEST HUDSON PULMONARY ASSOCIATES CORPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:JEHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-991-4544
Mailing Address - Street 1:816 KEARNY AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-3148
Mailing Address - Country:US
Mailing Address - Phone:201-991-4544
Mailing Address - Fax:
Practice Address - Street 1:816 KEARNY AVE
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-3148
Practice Address - Country:US
Practice Address - Phone:201-991-4544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0400287406207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty