| Essex Adult, Adolescent & Pediatric Medical, Pc | |
|
98 S Munn Ave East Orange NJ 07018-3402 | |
| (973) 676-0500 | |
| (973) 676-0566 |
| Full Name | Essex Adult, Adolescent & Pediatric Medical, Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 98 S Munn Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Carol N Abalihi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9736760500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essex Adult, Adolescent & Pediatric Medical, Pc Po Box 111569 Irvington NJ 07111-0569 Ph: (973) 676-0500 | Essex Adult, Adolescent & Pediatric Medical, Pc 98 S Munn Ave East Orange NJ 07018-3402 Ph: (973) 676-0500 |
| NPI Number | 1558493577 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558493577 | NPI | - | NPPES |
| 7707207 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA64547 (New Jersey) | Primary |
| 208000000X | Pediatrics | MA64547 (New Jersey) | Primary |
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