Organization
KIDZDOC MD PEDIATRICS LLC
Active
Parent organization
KIDZDOC MD PEDIATRICS LLC
Other names
PEDIATRICS ON PROSPECT
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIDZDOC MD PEDIATRICS LLC
Authorized official
DR. JUDITH COLLEEN HUGH-GOFFE MD (PEDIATRICIAN)
(973) 732-1718
Entity
Organization
Contact information
Practice address
120 PROSPECT ST, SOUTH ORANGE, NJ 07079-2103
(973) 732-1718
(973) 732-1719
Mailing address
120 PROSPECT ST, SOUTH ORANGE, NJ 07079-2103
(973) 732-1718
(973) 732-1719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MAO7567100
NJ
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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