Organization
KIDZ DREAMZ PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAPNA S NAMBIAR MD (OWNER)
(732) 623-9905
Entity
Organization
Contact information
Practice address
521 GREEN ST FL 2, SUITE 521 A, ISELIN, NJ 08830-2618
(732) 623-9905
Mailing address
579 WOOD AVE, EDISON, NJ 08820-2304
(732) 623-9905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09554900
MEDICAL LICENSE
NJ
Enumeration date
04/12/2016
Last updated
05/20/2016
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