Organization
LAKEVIEW PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALGORZATA KORTOWSKA MD (PHYSICIAN OWNER)
(973) 340-6225
Entity
Organization
Contact information
Practice address
LAKEVIEW PEDIATRICS, 266 LAKEVIEW AVE, CLIFTON, NJ 07011
(973) 340-6225
(973) 340-0665
Mailing address
LAKEVIEW PEDIATRICS, 266 LAKEVIEW AVE, CLIFTON, NJ 07011
(973) 340-6225
(973) 340-0665
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA065909
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7560401
—
NJ
Enumeration date
05/04/2007
Last updated
01/12/2012
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