| Health Star Pediatrics Llc | |
|
685 Mount Prospect Ave Newark NJ 07104-3151 | |
| (973) 747-6579 | |
| (201) 825-2908 |
| Full Name | Health Star Pediatrics Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 685 Mount Prospect Ave, Newark, New Jersey |
| Authorized Official Name and Position | Mark J. Wade (PRESIDENT) |
| Authorized Official Contact | 2017262375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Star Pediatrics Llc 33 E Midland Ave Unit 1822 Paramus NJ 07653-7075 Ph: (201) 825-3073 | Health Star Pediatrics Llc 685 Mount Prospect Ave Newark NJ 07104-3151 Ph: (973) 747-6579 |
| NPI Number | 1013320530 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 06/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013320530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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