Organization
PEDIATRIC HEALTH, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LOPEZ (COMPTROLLER)
(732) 780-3333
Entity
Organization
Contact information
Practice address
4200 ROUTE 9 S, HOWELL, NJ 07731-3316
(732) 905-5525
(732) 905-5502
Mailing address
69 W MAIN ST, FREEHOLD, NJ 07728-2114
(732) 409-3633
(732) 409-7133
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA02343600
NJ
Other
Enumeration date
03/26/2008
Last updated
02/16/2011
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