Organization
BAYONNE PEDIATRIC PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALINI NAGARAJAN RAGHU MD (OWNER)
(201) 823-4141
Entity
Organization
Contact information
Practice address
765 KENNEDY BLVD, BAYONNE, NJ 07002
(201) 823-4141
Mailing address
21 TAMARACK RD, EDISON, NJ 08820-3630
(201) 823-4141
(201) 823-1141
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA08140300
NJ
Other
Enumeration date
02/05/2016
Last updated
12/10/2021
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