# CENTER FOR CHILDHOOD AND NEONATAL SURGERY

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

## Provider details

- **NPI number:** 1487863668
- **Authorized official:** MRS. EMILY S. TAN PA (PHYSICIAN ASSISTANT)
- **Authorized official phone:** (973) 972-0212

## Contact information

- **Practice address:** 90 BERGEN ST. SUITE 7100, NEWARK, NJ 07103
- **Practice address phone:** (973) 972-0212
- **Practice address fax:** (973) 972-1204
- **Mailing address:** 79 SALEM ST, EDISON, NJ 08820-2414
- **Mailing address phone:** (973) 972-0212
- **Mailing address fax:** (973) 972-1204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 25MP00040000 | NJ | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020