| Hudson Pediatric Neurology Center, Llc | |
|
33-41 Newark St Ste 4c Hoboken NJ 07030-5620 | |
| (201) 892-2938 | |
| (201) 533-0223 |
| Full Name | Hudson Pediatric Neurology Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 33-41 Newark St Ste 4c, Hoboken, New Jersey |
| Authorized Official Name and Position | Janti Chaaban (PRESIDENT) |
| Authorized Official Contact | 2018922938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Pediatric Neurology Center, Llc 33-41 Newark St Ste 4c Hoboken NJ 07030-5620 Ph: (201) 892-2938 | Hudson Pediatric Neurology Center, Llc 33-41 Newark St Ste 4c Hoboken NJ 07030-5620 Ph: (201) 892-2938 |
| NPI Number | 1376031062 |
|---|---|
| Provider Enumeration Date | 04/27/2018 |
| Last Update Date | 04/27/2018 |
| Medicare PECOS PAC ID | 0042568479 |
|---|---|
| Medicare Enrollment ID | O20180801002346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376031062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
| Provider Name | Janti Chaaban |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013169937 PECOS PAC ID: 8820264856 Enrollment ID: I20111222000062 |
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