Organization
PRIME PEDIATRICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATIMA JAFFERY MD (OWNER)
(973) 373-9600
Entity
Organization
Contact information
Practice address
50 UNION AVE, SUITE 704, IRVINGTON, NJ 07111-3262
(973) 373-9600
Mailing address
90 PARLIN LN, WATCHUNG, NJ 07069-5419
(973) 373-9600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06157600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9022805
—
NJ
Enumeration date
05/26/2006
Last updated
02/18/2010
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