Organization
GALLOWAY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN LOPEZ-BERNARD M.D. (OWNER)
(609) 748-2800
Entity
Organization
Contact information
Practice address
53 W WHITE HORSE PIKE, GALLOWAY, NJ 08205-9450
(609) 748-2800
Mailing address
53 W WHITE HORSE PIKE, GALLOWAY, NJ 08205-9450
(609) 748-2800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07514000
NJ
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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