Organization
MANCHESTER PEDIATRIC MEDICAL DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY GREENBERGER (CEO)
(908) 315-3400
Entity
Organization
Contact information
Practice address
1770 TOBIAS AVE, MANCHESTER, NJ 08759-5803
(732) 657-1800
Mailing address
51 CRAGWOOD RD, SOUTH PLAINFIELD, NJ 07080-2405
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
158337
NJ
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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