Organization
PASSAIC PEDIATRICS II PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL ALMANZAR MD (MD/PRESIDENT)
(973) 458-8000
Entity
Organization
Contact information
Practice address
93 MARKET STREET, PASSAIC, NJ 07055
(862) 238-8333
(862) 238-8338
Mailing address
913 MAIN AVE, PASSAIC, NJ 07055
(973) 458-8000
(973) 458-8425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA65994
NJ
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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