Provider Demographics
NPI:1114413721
Name:DOUGLAS J OPLER MD PC
Entity type:Organization
Organization Name:DOUGLAS J OPLER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:OPLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-591-5177
Mailing Address - Street 1:9 WELTER AVE
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-8323
Mailing Address - Country:US
Mailing Address - Phone:201-591-5177
Mailing Address - Fax:
Practice Address - Street 1:17 SOUTH FRANKLIN TURNPIKE
Practice Address - Street 2:THIRD FLOOR, SUITE 3
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2536
Practice Address - Country:US
Practice Address - Phone:201-591-5177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA093690002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty