Organization
EDISON PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DINESH R PATEL MD (OWNER)
(732) 452-9800
Entity
Organization
Contact information
Practice address
3 STATE ROUTE 27 STE 301, COLONIAL VILLAGE SHOPPING COMPLEX, EDISON, NJ 08820-3963
(732) 452-9800
Mailing address
3 STATE ROUTE 27 STE 301, COLONIAL VILLAGE SHOPPING COMPLEX, EDISON, NJ 08820-3963
(732) 452-9800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA058322
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5403901
—
NJ
Enumeration date
03/29/2007
Last updated
12/20/2011
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