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Organization
MIDDLETOWN PEDIATRICS, P.A.
Active
Organization
MIDDLETOWN PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN E READY (OFFICE MANAGER)
(732) 741-9800
Entity
Organization
Contact information
Practice address
529 HWY #35, RED BANK, NJ 07701-5037
(732) 741-9800
(732) 758-6367
Mailing address
529 HWY #35, RED BANK, NJ 07701-5037
(732) 741-9800
(732) 758-6367
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600008
—
NJ
05
—
0882909
—
NJ
05
—
2905302
—
NJ
Enumeration date
04/12/2007
Last updated
08/22/2020
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