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
Update your record
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