Organization
PEDIATRIC AND ADOLESCENT CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI SHANKAR CHENNAPRAGADA MD (PRESIDENT)
(908) 927-1155
Entity
Organization
Contact information
Practice address
676 ROUTE 202-206 NORTH, BRIDGEWATER, NJ 08807
(908) 927-1155
Mailing address
676 ROUTE 202-206 NORTH, BRIDGEWATER, NJ 08807
(908) 927-1155
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA069379
NJ
Other
Enumeration date
03/20/2007
Last updated
01/24/2012
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