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Organization
CENTER FOR CHILDHOOD AND NEONATAL SURGERY
Active
Organization
CENTER FOR CHILDHOOD AND NEONATAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY S. TAN PA (PHYSICIAN ASSISTANT)
(973) 972-0212
Entity
Organization
Contact information
Practice address
90 BERGEN ST. SUITE 7100, NEWARK, NJ 07103
(973) 972-0212
(973) 972-1204
Mailing address
79 SALEM ST, EDISON, NJ 08820-2414
(973) 972-0212
(973) 972-1204
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25MP00040000
NJ
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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