Organization
WASHINGTON ST PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SKOLNICK (OWNER)
(973) 715-5963
Entity
Organization
Contact information
Practice address
200 WASHINGTON ST, NEWARK, NJ 07102-2921
(973) 622-3890
(973) 622-6443
Mailing address
200 WASHINGTON ST, NEWARK, NJ 07102-2921
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
02/10/2021
Last updated
01/14/2022
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