| New Jersey Pediatric And Adolescent Care, Llc | |
|
1680 Route 23 Suite 350 Wayne NJ 07470-7501 | |
| (973) 521-9700 | |
| Not Available |
| Full Name | New Jersey Pediatric And Adolescent Care, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1680 Route 23, Wayne, New Jersey |
| Authorized Official Name and Position | Lydia M Charles (OWNER) |
| Authorized Official Contact | 9732761140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Pediatric And Adolescent Care, Llc 4 Fox Hollow Rd Montville NJ 07045-9300 Ph: (973) 276-1140 | New Jersey Pediatric And Adolescent Care, Llc 1680 Route 23 Suite 350 Wayne NJ 07470-7501 Ph: (973) 521-9700 |
| NPI Number | 1912334434 |
|---|---|
| Provider Enumeration Date | 09/29/2013 |
| Last Update Date | 09/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912334434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA06235800 (New Jersey) | Primary |
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