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Organization

WATCHUNG PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA G KATZ MD (PRESIDENT/CEO)
(908) 755-5437
Entity
Organization

Contact information

Practice address
76 STIRLING RD, STE 201, WARREN, NJ 07059-5751
(908) 755-5437
(908) 755-6905
Mailing address
76 STIRLING RD, STE 201, WARREN, NJ 07059-5751
(908) 755-5437
(908) 755-6905

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0376373001
AMERIHEALTH HMO GROUP ID
NJ
01
0501095
AETNA HMO GROUP ID
NJ
01
1431
UNIVERSITY GROUP ID
NJ
05
5149509
NJ
01
606914
PHCS GROUP ID
NJ
01
956005
AMERIHEALTH PPO GROUP ID
NJ
Enumeration date
08/25/2005
Last updated
11/24/2008
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