Organization
COMPREHENSIVE PEDIATRIC CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIA GHAVAMI M.D. (PRESIDENT)
(201) 445-1212
Entity
Organization
Contact information
Practice address
119 PROSPECT ST, RIDGEWOOD, NJ 07450-4451
(201) 445-1212
(201) 445-9515
Mailing address
119 PROSPECT ST, RIDGEWOOD, NJ 07450-4451
(201) 445-1212
(201) 445-9515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04003700
NJ
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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