| New Brunswick Pediatric Group, P.a. | |
|
1300 How Ln North Brunswick NJ 08902-1721 | |
| (732) 247-1510 | |
| (732) 247-8885 |
| Full Name | New Brunswick Pediatric Group, P.a. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1300 How Ln, North Brunswick, New Jersey |
| Authorized Official Name and Position | Louis M Diemer (PRESIDENT) |
| Authorized Official Contact | 7322471510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Brunswick Pediatric Group, P.a. 1300 How Ln Po Box 6017 North Brunswick NJ 08902-1721 Ph: (732) 247-1510 | New Brunswick Pediatric Group, P.a. 1300 How Ln North Brunswick NJ 08902-1721 Ph: (732) 247-1510 |
| NPI Number | 1689630162 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689630162 | NPI | - | NPPES |
| 2645009 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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