Organization
MOUNTAINSIDE PEDIACTRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES G HADDAD M.D. (OWNER)
(973) 928-3339
Entity
Organization
Contact information
Practice address
716 BROAD ST, CLIFTON, NJ 07013-1645
(973) 928-3339
Mailing address
716 BROAD ST, CLIFTON, NJ 07013-1645
(973) 928-3339
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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