Organization
GALLOWAY PEDIATRIC MEDICAL DAY CARE LLC
Active
Other names
Pediatric Day Health Center at Galloway
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE EHRENFELD (MEMBER)
(718) 755-4047
Entity
Organization
Contact information
Practice address
66 WEST JIMMIE LEEDS ROAD, ABSECON, NJ 08201
(609) 748-2888
Mailing address
2 LAUREL AVE, CLIFTON, NJ 07012-1217
(718) 755-4047
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
018252
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018252
LICENSE
NJ
Enumeration date
05/09/2013
Last updated
05/09/2013
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