Organization
GARDEN STATE PEDIACTRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMI BETH SCANLON DO (PHYSICIAN OWNER)
(201) 263-1477
Entity
Organization
Contact information
Practice address
217 OLD HOOK RD, SUITE 3C GARDEN STATE PEDIATRICS LLC, WESTWOOD, NJ 07675
(201) 263-1477
(201) 263-0048
Mailing address
217 OLD HOOK RD, SUITE 3C GARDEN STATE PEDIATRICS, WESTWOOD, NJ 07675
(201) 263-1477
(201) 263-0048
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA06742400
NJ
208000000X
Pediatrics Physician
Primary
25MB07383700
NJ
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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