Organization
IRIS PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA POTYLITSINA MD (MEDICAL DIRECTOR)
(732) 862-0200
Entity
Organization
Contact information
Practice address
702 N BEERS ST, SUITE 1, HOLMDEL, NJ 07733-1520
(732) 862-0200
Mailing address
702 N BEERS ST, SUITE 1, HOLMDEL, NJ 07733-1520
(732) 862-0200
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA08017300
NJ
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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