Organization
CHILDREN OF JOY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILDRED BENOIT (OFFICE MANAGER)
(201) 525-0077
Entity
Organization
Contact information
Practice address
134 SUMMIT AVENUE, HACKENSACK, NJ 07601
(201) 525-0077
(201) 525-0072
Mailing address
582 PENN AVENUE, TEANECK, NJ 07666
(201) 525-0077
(201) 525-0072
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA0768440
NJ
208000000X
Pediatrics Physician
25MA07684400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082368
—
NJ
Enumeration date
04/29/2009
Last updated
05/18/2012
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