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Organization

PEDIATRIC SURGICALCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FREDERICK ALEXANDER M.D. (OWNER/PHYSCIAN)
(201) 225-0029
Entity
Organization

Contact information

Practice address
313 BEDFORD RD, RIDGEWOOD, NJ 07450-1327
(201) 225-0029
(201) 225-0031
Mailing address
313 BEDFORD ROAD, RIDGEWOOD, NJ 07450
(201) 225-0029
(201) 225-0031

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08195900
NJ

Other

Enumeration date
12/06/2013
Last updated
12/06/2013
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