Organization
NEW JERSEY PEDIATRIC NEUROLOGICAL ASSOCIATES, PC
Active
Parent organization
NEW JERSEY PEDIATRIC NEUROSURGICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW JERSEY PEDIATRIC NEUROSURGICAL
Authorized official
DR. CATHERINE A MAZZOLA M.D. (PRESIDENT & CEO)
(973) 326-9000
Entity
Organization
Contact information
Practice address
131 MADISON AVE, SUITE 140, MORRISTOWN, NJ 07960-7360
(973) 326-9000
(973) 326-9001
Mailing address
131 MADISON AVE, SUITE 140, MORRISTOWN, NJ 07960-7360
(973) 326-9000
(973) 326-9001
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA06780300
NJ
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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