Organization
PEDIATRIC CRITICAL CARE ASSOCIATES AT SAINT BARNABAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK AHEARN (DIRECTOR)
(732) 557-7119
Entity
Organization
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039-5672
(973) 322-5690
(973) 322-5504
Mailing address
PO BOX 18417, NEWARK, NJ 07191-8417
(732) 557-7160
(732) 557-7109
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5634407
—
NJ
Enumeration date
05/04/2006
Last updated
01/28/2008
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