Provider Demographics
NPI:1962583062
Name:NOROFF, JOAN P (MD)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:P
Last Name:NOROFF
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2954 KENNEDY BLVD
Mailing Address - Street 2:2ND FL
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306
Mailing Address - Country:US
Mailing Address - Phone:201-653-5555
Mailing Address - Fax:201-963-9202
Practice Address - Street 1:636 MORRIS TPKE
Practice Address - Street 2:2I
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2622
Practice Address - Country:US
Practice Address - Phone:973-376-4257
Practice Address - Fax:973-376-7370
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NJMA03296207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD98827Medicare UPIN
NJNO39583Medicare ID - Type Unspecified