Organization
OLD BERGEN PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO MANGOSING M.D. (PRESIDENT)
(201) 434-3997
Entity
Organization
Contact information
Practice address
4 HIGHLAND AVE, JERSEY CITY, NJ 07306-4510
(201) 434-3997
(201) 434-3304
Mailing address
4 HIGHLAND AVE, JERSEY CITY, NJ 07306-4510
(201) 434-3997
(201) 434-3304
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06888600
NJ
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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