Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SEVERIANO FAJARDO SANJUAN JR., M.D.
Active Sole ProprietorDR. SEVERIANO FAJARDO SANJUAN JR., M.D. is a Pediatrics healthcare provider located in MAPLEWOOD, New Jersey. NPI 1891701595 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · MAPLEWOOD, NJ
Registration Details
- NPI Number
- 1891701595
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (20.045822832479 yrs)
- Last Updated
- Dec 12, 2014
- License
-
MA34053 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2040 MILLBURN AVESUITE 302MAPLEWOOD, NJ, 070403726Browse NJ providers · Browse ZIP 07040
- Phone
- 9737620035
- Fax
- 9737620402
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in MAPLEWOOD, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. LINNIE A ARAGONES | M.D. | 1205923489 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.