Iris Pediatrics, Llc | |
702 N Beers St Suite 1 Holmdel NJ 07733-1520 | |
(732) 862-0200 | |
Not Available |
Full Name | Iris Pediatrics, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 702 N Beers St, Holmdel, New Jersey |
Authorized Official Name and Position | Yelena Potylitsina (MEDICAL DIRECTOR) |
Authorized Official Contact | 7328620200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Iris Pediatrics, Llc 702 N Beers St Suite 1 Holmdel NJ 07733-1520 Ph: (732) 862-0200 | Iris Pediatrics, Llc 702 N Beers St Suite 1 Holmdel NJ 07733-1520 Ph: (732) 862-0200 |
NPI Number | 1376903211 |
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Provider Enumeration Date | 03/04/2016 |
Last Update Date | 03/04/2016 |
Identifier | Type | State | Issuer |
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1376903211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 25MA08017300 (New Jersey) | Primary |
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