Organization
UNIVERSITY PEDIATRIC ASSOCIATES (OM)
Active
Parent organization
SPECIAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIAL LLC
Authorized official
DAVID HAIER (CEO)
(973) 972-9503
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
30 BERGEN ST # 1205, NEWARK, NJ 07107-3000
(973) 972-5004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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