Organization
EAST BRUNSWICK PEDIATRICS ASSOCIATED
Active
Other names
MID-JERSEY PEDIATRICS, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN L DOUGHERTY (BILLING DEPARTMENT)
(732) 257-4330
Entity
Organization
Contact information
Practice address
33 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 257-4330
(732) 257-5986
Mailing address
33 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 257-4330
(732) 257-5986
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2838508
—
NJ
Enumeration date
10/13/2006
Last updated
02/17/2009
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