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Organization

NKPEDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRSHAD HUSSAIN (VICE PRESIDENT)
(646) 761-8764
Entity
Organization

Contact information

Practice address
126 MADISON AVE, HASBROUCK HEIGHTS, NJ 07604-1309
(646) 761-8764
Mailing address
126 MADISON AVE, HASBROUCK HEIGHTS, NJ 07604-1309
(646) 761-8764

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/26/2020
Last updated
08/26/2020
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