Organization
MONDESTIN PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALYAN YAMIJALA (BILLER)
(732) 925-7542
Entity
Organization
Contact information
Practice address
40 FULD ST STE 301, TRENTON, NJ 08638-5247
(609) 989-9125
Mailing address
40 FULD ST STE 301, TRENTON, NJ 08638-5247
(609) 989-9125
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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