Organization
WASHINGTON PARK PEDIATRICS
Active
Other names
KidsCare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC ROBERTS M.D. (PRESIDENT)
(973) 622-3890
Entity
Organization
Contact information
Practice address
495 N 13TH ST, NEWARK, NJ 07107-1317
(973) 268-5862
(973) 622-3890
Mailing address
559 BROAD ST, NEWARK, NJ 07102-4503
(973) 622-3890
(973) 622-6443
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03289200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6618707
—
NJ
Enumeration date
12/13/2006
Last updated
08/22/2020
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