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Organization
PEDIATRIC & ADOLESCENT MEDICAL CENTER
Active
Organization
PEDIATRIC & ADOLESCENT MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGDISH C CHUGH MD (PRESIDENT)
(908) 852-8787
Entity
Organization
Contact information
Practice address
182 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2412
(908) 852-8787
(908) 852-8187
Mailing address
182 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2412
(908) 852-8787
(908) 852-8187
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA06768800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA06768800
LICENSE NO.
NJ
Enumeration date
01/30/2007
Last updated
08/22/2020
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