Organization
LAMINGTON PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PURNACHANDER R SIRIKONDA M.D., (DOCTOR)
(201) 487-5018
Entity
Organization
Contact information
Practice address
101 PROSPECT AVE, 1C, HACKENSACK, NJ 07601
(201) 487-5018
(201) 487-5020
Mailing address
304 SOUTH DR, PARAMUS, NJ 07652
(201) 487-5018
(201) 487-5020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA67533
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8274509
—
NJ
Enumeration date
04/10/2007
Last updated
08/15/2008
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