# JERSEY SHORE UNIVERSITY MEDICAL CENTER PEDI CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336225499
- **Authorized official:** MR. WILLIAM PHILLIP (CFO)
- **Authorized official phone:** (732) 751-7520

## Contact information

- **Practice address:** 71 DAVIS AVE, NEPTUNE, NJ 07753-4401
- **Practice address phone:** (732) 776-4210
- **Practice address fax:** (732) 776-4892
- **Mailing address:** 71 DAVIS AVE, NEPTUNE, NJ 07753-4401
- **Mailing address phone:** (732) 776-4210
- **Mailing address fax:** (732) 776-4892

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 08/22/2020