Organization
STAR LIFE PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LEE (ADMINISTRATOR)
(732) 429-7165
Entity
Organization
Contact information
Practice address
86 NEW BRUNSWICK AVE, HOPELAWN, NJ 08861-2242
(732) 910-1312
Mailing address
86 NEW BRUNSWICK AVE, HOPELAWN, NJ 08861-2242
(732) 910-1312
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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