PEDIATRIC AND ADOLESCENT MEDICINE
Organization (NPI-2)
Active
Pediatrics, Adolescent Medicine
Provider Information
- NPI Number
1053461855- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 223 MONMOUTH RD, WEST LONG BRANCH, NJ, 077641029
- Phone
- (732) 229-4540
- Fax
- (732) 229-8689
Specialties & Taxonomies
Pediatrics, Adolescent Medicine
License: NJ #MA040400
Pediatrics, Adolescent Medicine
Primary License: NJ #MA37398