Organization
PEDICATRIC CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALIA PANDO MD (OWNER)
(201) 618-2161
Entity
Organization
Contact information
Practice address
132 WASHINGTON AVE, BELLEVILLE, NJ 07109-2926
(973) 450-0624
(973) 450-0626
Mailing address
132 WASHINGTON AVE, BELLEVILLE, NJ 07109-2926
(973) 450-0624
(973) 450-0626
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7839804
—
NJ
Enumeration date
03/28/2022
Last updated
07/13/2023
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