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Organization

PARK AVENUE PERDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JULIE NATHONSON (OFFICE MANAGER)
(973) 239-7001
Entity
Organization

Contact information

Practice address
36 PARK AVENUE, VERONA, NJ 07044
(973) 239-7001
(973) 239-8867
Mailing address
36 PARK AVENUE, VERONA, NJ 07044
(973) 239-7001
(973) 239-8867

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary

Other

Enumeration date
03/20/2007
Last updated
06/23/2008
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